Individual
DR. STEVEN LARRY FOLLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1749 WALKABOUT DR, POCATELLO, ID 83204-7015
(208) 241-4204
(208) 234-1162
Mailing address
PO BOX 4205, POCATELLO, ID 83205-4205
(208) 241-4204
(208) 234-1162
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
M-6951
ID
207L00000X
Anesthesiology Physician
Primary
MD180303
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1851349914
—
ID
01
—
20002355
MEDICARE ID
ID
Enumeration date
05/04/2006
Last updated
02/16/2023
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