Organization
TETON SPINE, PLLC
Active
Organization
TETON SPINE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN T MORGAN DO (OWNER)
(516) 424-5892
Entity
Organization
Contact information
Practice address
777 HOSPITAL WAY, SUITE 115, POCATELLO, ID 83201-5175
(208) 239-2260
Mailing address
PO BOX 4836, POCATELLO, ID 83205-4836
(516) 424-5892
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
Other
Enumeration date
10/17/2014
Last updated
10/17/2014
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