Organization
POCATELLO HEALTH SERVICES, LLC
Active
Organization
POCATELLO HEALTH SERVICES, LLC
Active
Other names
POCATELLO CARDIOLOGY ASSOCIATES
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN ABREU (CFO)
(208) 239-1000
Entity
Organization
Contact information
Practice address
777 HOSPITAL WAY BLDG A, STE. 101, POCATELLO, ID 83201-2753
(208) 234-2001
(208) 232-2195
Mailing address
PO BOX 4168, POCATELLO, ID 83205-4168
(208) 234-2001
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002507000
—
ID
Enumeration date
08/03/2006
Last updated
11/07/2011
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