# ARTHRITIS SPECIALTY CENTER,INC

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

## Provider details

- **NPI number:** 1801989454
- **Authorized official:** DR. ANANDA WALALIYADDA MD (OWNER)
- **Authorized official phone:** (208) 234-1300

## Contact information

- **Practice address:** 1448 E CENTER STREET, SUITE E, POCATELLO, ID 83201
- **Practice address phone:** (208) 234-1300
- **Practice address fax:** (208) 234-1333
- **Mailing address:** 1448 E CENTER STREET, SUITE E, POCATELLO, ID 83201
- **Mailing address phone:** (208) 234-1300
- **Mailing address fax:** (208) 234-1333

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | M8731 | ID | Yes |

## Other

- **Enumeration date:** 10/02/2006
- **Last updated:** 08/22/2020