Organization · Type 2 NPI
Teton Spine Pllc.
Neurological Surgery Physician · Pocatello, ID
Practice location
11668 Paint Brush Lane
Pocatello, ID 83202
Fax (208) 232-2299
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Neurological Surgery Physician Primary | 207T00000X | 0-0644 (ID) |
Neurological Surgery Physician: A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the opera…
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About NPI 1669874012
Teton Spine Pllc.'s National Provider Identifier is 1669874012, issued on Sep 17, 2014. The primary taxonomy on file is Neurological Surgery Physician (207T00000X), and the practice location is in Pocatello, ID. The record was last updated on Sep 30, 2026.