Individual
GREGORY SCOTT EMFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O
Contact information
Practice address
246 N 18TH AVE, POCATELLO, ID 83201-3324
(208) 234-4100
(208) 234-4192
Mailing address
246 N 18TH AVE, POCATELLO, ID 83201-3324
(208) 234-4100
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
15906
ND
207W00000X
Ophthalmology Physician
Primary
O-1409
ID
Other
Enumeration date
09/12/2013
Last updated
05/06/2021
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