Individual
WILLIAM SCOTT HUNEYCUTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2240 E CENTER ST, POCATELLO, ID 83201
(208) 233-8344
(208) 233-6983
Mailing address
2240 E CENTER ST, POCATELLO, ID 83201
(208) 233-8344
(208) 233-6983
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
M7793
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
805492000
—
ID
Enumeration date
09/09/2005
Last updated
12/10/2013
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