| Pineview Medical Llc | |
|
9075 Stoney Creek Rd Pocatello ID 83204-7242 | |
| (888) 851-3677 | |
| (888) 851-3671 |
| Full Name | Pineview Medical Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Clinical Neurophysiology |
| Location | 9075 Stoney Creek Rd, Pocatello, Idaho |
| Authorized Official Name and Position | Jared Allen (MEMBER) |
| Authorized Official Contact | 8016435057 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pineview Medical Llc 9825 N 10800 W Tremonton UT 84337-9222 Ph: (888) 851-3677 | Pineview Medical Llc 9075 Stoney Creek Rd Pocatello ID 83204-7242 Ph: (888) 851-3677 |
| NPI Number | 1386412245 |
|---|---|
| Provider Enumeration Date | 12/19/2023 |
| Last Update Date | 12/19/2023 |
| Certification Date | 12/19/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386412245 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0600X | Psychiatry & Neurology - Clinical Neurophysiology | (* (Not Available)) | Primary |
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