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Search › Idaho › 231H00000X

Jeff Brockett, ED.D

NPI 1013931450 · on the registry since 2006

Practice

Address
650 Memorial Dr Bldg 68
Pocatello, ID 83209
Phone
(208) 282-2556
Organisation at this address
Idaho State University
Idaho State University
Inferred from a shared address, not stated in the registry.
Clinicians at this address
6

Registry record

Primary taxonomy
231H00000X
231H00000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2013-04-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho