SearchIdaho101YA0400X

Scott Entrikin, SUDA

NPI 1881275956 · on the registry since 2021 · sole proprietor

Practice

Address
145 Oasis Dr
Pocatello, ID 83204
Phone
(208) 705-7838

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-04-19

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