Individual
DR. STEVEN JOSEPH TODD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 S 11TH AVE STE 101, POCATELLO, ID 83201-4877
(208) 239-1750
(208) 236-6695
Mailing address
PO BOX 4908, POCATELLO, ID 83205-4908
(208) 239-1750
(208) 236-6695
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
9984
MT
2085R0001X
Radiation Oncology Physician
Primary
M9933
ID
Other
Enumeration date
09/26/2006
Last updated
09/19/2007
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