Individual
SHERWIN D'SOUZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2302 E. TERRY STREET, POCATELLO, ID 83201
(208) 235-5910
(208) 235-5920
Mailing address
PO BOX 335, POCATELLO, ID 83204-0335
(208) 235-5910
(208) 235-5920
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
M7906
ID
Other
Enumeration date
07/09/2006
Last updated
02/17/2010
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