| Psychiatry-ect, Pllc | |
|
285 Vista Dr Suite D Pocatello ID 83201 | |
| (208) 233-8344 | |
| (208) 233-6983 |
| Full Name | Psychiatry-ect, Pllc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 285 Vista Dr, Pocatello, Idaho |
| Authorized Official Name and Position | Predrag V Gligorovic (OWNER) |
| Authorized Official Contact | 2082338344 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychiatry-ect, Pllc 285 Vista Dr Suite D Pocatello ID 83201 Ph: (208) 233-8344 | Psychiatry-ect, Pllc 285 Vista Dr Suite D Pocatello ID 83201 Ph: (208) 233-8344 |
| NPI Number | 1972808806 |
|---|---|
| Provider Enumeration Date | 01/25/2011 |
| Last Update Date | 01/25/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972808806 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | M-9600 (Idaho) | Primary |
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