Organization
ARTHRITIS SPECIALTY CENTER,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANANDA WALALIYADDA MD (OWNER)
(208) 234-1300
Entity
Organization
Contact information
Practice address
1448 E CENTER STREET, SUITE E, POCATELLO, ID 83201
(208) 234-1300
(208) 234-1333
Mailing address
1448 E CENTER STREET, SUITE E, POCATELLO, ID 83201
(208) 234-1300
(208) 234-1333
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
M8731
ID
Other
Enumeration date
10/02/2006
Last updated
08/22/2020
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