# POCATELLO CARDIOLOGY ASSOCIATES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659540292
- **Authorized official:** STEPHANIE P CONOLEY (CLINIC ADMINSTRATOR)
- **Authorized official phone:** (208) 234-2001

## Contact information

- **Practice address:** 777 HOSPITAL WAY BLDG A, STE. 101, POCATELLO, ID 83201-2753
- **Practice address phone:** (208) 234-2001
- **Practice address fax:** (208) 232-2195
- **Mailing address:** PO BOX O, POCATELLO, ID 83205-0049

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 364SA2200X | Adult Health Clinical Nurse Specialist | — | NULL | Yes |
| 364SA2200X | Adult Health Clinical Nurse Specialist | — | — | Yes |

## Other

- **Enumeration date:** 02/28/2008
- **Last updated:** 11/14/2008