Organization · Type 2 NPI

Intermountain Neurosurgery, P.a.

Neurological Surgery Physician · Pocatello, ID

NPI number 1902835986 Active

Practice location

500 S 11th Ave, Suite 504
Pocatello, ID 83201-4835

Fax (208) 233-6983

Specialties and licenses

TaxonomyCodeLicense
Neurological Surgery Physician Primary 207T00000XNone listed

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 1902835986

Intermountain Neurosurgery, P.a.'s National Provider Identifier is 1902835986, issued on Jul 1, 2006. The primary taxonomy on file is Neurological Surgery Physician (207T00000X), and the practice location is in Pocatello, ID. The record was last updated on Mar 17, 2008.