| Diabetes And Internal Medicine | |
|
2302 E. Terry Street Pocatello ID 83201 | |
| (208) 236-1600 | |
| Not Available |
| Full Name | Diabetes And Internal Medicine |
|---|---|
| Speciality | Internal Medicine |
| Location | 2302 E. Terry Street, Pocatello, Idaho |
| Authorized Official Name and Position | Sherwin D'souza (PRESIDENT) |
| Authorized Official Contact | 2082361600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Diabetes And Internal Medicine Po Box 335 Pocatello ID 83204-0335 Ph: (208) 236-1600 | Diabetes And Internal Medicine 2302 E. Terry Street Pocatello ID 83201 Ph: (208) 236-1600 |
| NPI Number | 1225257652 |
|---|---|
| Provider Enumeration Date | 04/24/2007 |
| Last Update Date | 02/17/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225257652 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (Idaho) | Primary |
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