Individual
MRS. PAMELA KOTHARI DENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2001 S WOODRUFF AVE, SUITE 10, IDAHO FALLS, ID 83404-6374
(417) 885-0828
(417) 886-7383
Mailing address
2001 S WOODRUFF AVE, SUITE 10, IDAHO FALLS, ID 83404-6374
(208) 206-0527
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
2012007463
MO
207V00000X
Obstetrics & Gynecology Physician
Primary
M-12616
ID
207V00000X
Obstetrics & Gynecology Physician
N5163
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1487854055
—
MO
05
—
194646001
—
AR
01
—
431560263
TRICARE
MO
01
—
P01128235
RR MCR
MO
Enumeration date
07/23/2007
Last updated
02/16/2016
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