Search › Idaho › 152W00000X
Jay Borgholthaus, OD
NPI 1952353716 · on the registry since 2006 · sole proprietor
Practice
- Address
- 301 S 4th Ave # C-2
Pocatello, ID 83201 - Phone
- (208) 637-0841
- Fax
- (208) 237-6922
Registry record
- Primary taxonomy
- 152W00000X
152W00000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-06-22
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