Southeast Idaho Gastroenterology, PLLC
NPI 1780867457 belongs to Southeast Idaho Gastroenterology, PLLC, a medical physician assistant with a practice location in Pocatello, ID. The NPI was issued on December 17, 2007, and the record was last updated in NPPES on December 17, 2007.
This record hasn't been updated in NPPES since 2007. Details may be out of date.
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | PA-629 (ID) |
Practice location
Local context
Active NPPES records list 41 providers with medical physician assistant as the primary taxonomy within 25 miles of this practice location's ZIP code, 32 of them within 10 miles.
The same primary taxonomy is listed by 401 in Idaho and 40,084 nationwide.
These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.
Record history
- Status
- Active
- NPI issued
- Last updated in NPPES
Is this your record? Updates are made through NPPES, the official National Plan and Provider Enumeration System.
NPPES data as of · Source: CMS NPPES
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