Organization · Type 2 NPI

Idaho Regional Hand & Upper Extremity Center PLLC

Orthopaedic Hand Surgery Physician · Pocatello, ID

NPI number 1003157801 Active

Practice location

444 Hospital Way Ste 710
Pocatello, ID 83201

Fax (208) 233-4268

Specialties and licenses

TaxonomyCodeLicense
Orthopaedic Hand Surgery Physician Primary 207XS0106XO-0574 (ID)
Orthopaedic Hand Surgery Physician 207XS0106XM-8547 (ID)
Surgical Physician Assistant 363AS0400XPA-684 (ID)

Orthopaedic Hand Surgery Physician: An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.

5 other providers at this address

About NPI 1003157801

Idaho Regional Hand & Upper Extremity Center PLLC's National Provider Identifier is 1003157801, issued on Mar 5, 2013. The primary taxonomy on file is Orthopaedic Hand Surgery Physician (207XS0106X), and the practice location is in Pocatello, ID. The record was last updated on Aug 30, 2018.