Idaho Em I Medical Services PC
Organization Active NPI Emergency Medicine Physician · Pocatello, ID
NPI 1053786467 · NPPES record last updated Dec 10, 2015
Key facts
- NPI
- 1053786467
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- Legal business name
- IDAHO EM I MEDICAL SERVICES PC
- Practice address
- 777 Hospital Way
Pocatello, ID 83201-5175 - Phone
- (469) 401-2386
- NPI assigned
- Dec 10, 2015
- Organization subpart
- No
Authorized official
- Name
- Mark J Slepin, MD
- Title
- President
- Phone
- (469) 401-2386
Practitioners 24
-
Mark Jeffrey Slepin, M.D.
-
Morgan Newel Anderson, D.O.
-
Brian Max Boesiger, M.D.
-
Mark A Burriesci, M.D.
-
Daniel S Dallon, M.D.
-
Douglas Favor, MD
-
Kurtis Rex Holt, M.D.
-
Matthew Judd, D.O.
-
Jordon Marshall, D.O.
-
Todd M Otstot, PA-C
-
Willis Parmley, MD
-
Tara C Rothwell, PA
-
Kenneth Ryan, MD
-
Curtis C Sandy, MD
-
Joel Thomas Webb, PA-C
-
Colette D Weber, PA
-
Robin Larive, PA
-
Jeremy R Monroe, D.O.
-
Cynthia Voegeli, FNP, NP-C
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician |
207P00000X | Yes | ||
| Physician Assistant |
363A00000X | |||
| Nurse Practitioner |
363L00000X |
Addresses
Primary practice location
777 Hospital Way
Pocatello, ID 83201-5175
Mailing address
13737 Noel Rd
#1600
Dallas, TX 75240-1331
Phone (469) 401-2386
Other providers in Pocatello, ID
- Idaho Dept of Health & Welfare Reg 6 Amh Clinic Poc
- Idaho Dept of Health & Welfare Reg 6 Amh PSR Poc
- Idaho Dept of Health & Welfare Reg 6 CM
- Idaho Dept of Health & Welfare Reg 6 CMH Poc Clinic
- Idaho Dept of Health &Welfare Reg 6 CMH PSR P
- Idaho Home Health & Hospice, Inc.
- Idaho Hyperbarics Inc
- Idaho Medical Imaging, LLC
- Idaho Medical Massage LLC
- Idaho Modern Medicine - PLLC
All providers in Pocatello, ID · Emergency Medicine Physician in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 10, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.