Individual
JOSIE MARIE SYVERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
465 MEMORIAL DR, POCATELLO, ID 83201-4008
(208) 282-4700
Mailing address
465 MEMORIAL DR, POCATELLO, ID 83201-4008
(208) 282-4700
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MRM-1343
ID
Other
Enumeration date
06/19/2013
Last updated
07/01/2024
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