Gloria Cheng, PA

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Pocatello, ID

NPI 1225920044 · NPPES record last updated Jul 16, 2025

Key facts

NPI
1225920044
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
921 S 8TH Ave Stop 8253
Pocatello, ID 83209-0002
Phone
(208) 282-4726
NPI assigned
Jul 16, 2025
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Physician Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

921 S 8TH Ave Stop 8253
Pocatello, ID 83209-0002

Mailing address

921 S 8TH Ave Stop 8253
Pocatello, ID 83209-0002
Phone (208) 282-4726

Other providers in Pocatello, ID

All providers in Pocatello, ID · Student in an Organized Health Care Education/Training Program in Idaho

Sources for this page

Verify at the official NPI Registry.