Organization
PINEVIEW MEDICAL LLC
Active
Organization
PINEVIEW MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JARED ALLEN (MEMBER)
(801) 643-5057
Entity
Organization
Contact information
Practice address
9075 STONEY CREEK RD, POCATELLO, ID 83204-7242
(888) 851-3677
(888) 851-3671
Mailing address
9825 N 10800 W, TREMONTON, UT 84337-9222
(888) 851-3677
(888) 851-3671
Taxonomy
Speciality
Code
Description
License number
State
2084N0600X
Clinical Neurophysiology Physician
Primary
—
—
Other
Enumeration date
12/19/2023
Last updated
12/19/2023
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