Search › Idaho › 363A00000X
Justin Firth
NPI 1235864190 · on the registry since 2022
Practice
- Address
- 2520 S 5th Ave
Pocatello, ID 83204 - Phone
- (208) 233-5433
- Organisation at this address
- Proactive Living, Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-09-23
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