| Pocatello Health Services, Llc | |
|
651 Memorial Dr Pocatello ID 83201-4071 | |
| (208) 239-1222 | |
| Not Available |
| Full Name | Pocatello Health Services, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 651 Memorial Dr, Pocatello, Idaho |
| Authorized Official Name and Position | John E. Abreu (CFO) |
| Authorized Official Contact | 2082391000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pocatello Health Services, Llc Po Box 4168 Pocatello ID 83205-4168 Ph: (208) 239-2065 | Pocatello Health Services, Llc 651 Memorial Dr Pocatello ID 83201-4071 Ph: (208) 239-1222 |
| NPI Number | 1497051544 |
|---|---|
| Provider Enumeration Date | 02/08/2011 |
| Last Update Date | 02/08/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497051544 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
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