Organization
TETON SPINE PLLC
Active
Organization
TETON SPINE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN T MORGAN DO (OWNER)
(208) 232-2233
Entity
Organization
Contact information
Practice address
333 N 18TH AVE, SUITE B4, POCATELLO, ID 83201
(208) 232-2233
(208) 232-2299
Mailing address
333 N 18TH AVE, SUITE B4, POCATELLO, ID 83201
(208) 232-2233
(208) 232-2299
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
0-0644
ID
Other
Enumeration date
09/17/2014
Last updated
03/08/2016
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