Individual
SETH PRIEBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
921 S. 8TH AVE., STOP 8253, POCATELLO, ID 83209
(208) 282-4726
Mailing address
921 S. 8TH AVE., STOP 8253, POCATELLO, ID 83209
(208) 282-4726
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0001008923
—
ID
Enumeration date
05/03/2024
Last updated
05/03/2024
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