Individual
MRS. HELENA M. B. RIZOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1448 E CENTER ST, POCATELLO, ID 83201-4105
(208) 234-1300
(208) 234-1333
Mailing address
1448 E CENTER ST, SUITE E, POCATELLO, ID 83201-4105
(208) 234-1300
(208) 234-1333
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA517
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1801989454
—
ID
Enumeration date
07/30/2005
Last updated
04/01/2014
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