SearchIdaho363AS0400X

Justin Pool, PA-C

NPI 1952402257 · on the registry since 2006

Practice

Address
2240 E Center St
Pocatello, ID 83201
Phone
(208) 233-2100
Fax
(208) 233-3146
Organisation at this address
Orthoidaho Llc
Spineidaho Pllc
Benjamin Blair, Md Pa
Anthony Joseph Md Inc
Richard A Wathne, Md Pa
Inferred from a shared address, not stated in the registry.
Clinicians at this address
15

Registry record

Primary taxonomy
363AS0400X
363AS0400X
Also registered as
363AM0700X
Licence states on file
UT, ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2018-02-27

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