SearchIdaho1041C0700X

Steven Proctor, LCSW

NPI 1528228806 · on the registry since 2008 · sole proprietor

Practice

Address
651 Memorial Dr
Pocatello, ID 83201
Phone
(208) 239-2110
Fax
(208) 239-2136
Organisation at this address
Phs Md #1, Llc
Phs Md #2, Llc
Pocatello Hospital Llc
Portneuf Medical Center
Portneuf Medical Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address
15

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Sex
Male
Record last updated
2008-06-11

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