Jonathan D Godfrey M.D.

NPI 1649474719 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1649474719
Gender Male
Enumeration Date 06/13/2007
Last Updated 06/25/2013
Entity Type Individual
Active Over 9 years ago
Practice Location
1151 HOSPITAL WAY
BUILDING A
POCATELLO ID, 83201-5091, US
Phone (208) 232-6616
Fax (208) 232-6618
Business Location
1151 HOSPITAL WAY
BUILDING A
POCATELLO ID, 83201-5091, US
Phone (208) 232-6616
Fax (208) 232-6618
Toxanomy
Taxonomy Code 390200000X
License State
License Number
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According to our database, Dr. Jonathan D Godfrey M.D. NPI is 1649474719, taxonomy code is 390200000X Jonathan D Godfrey M.D. physically located at 1151 Hospital Way, Pocatello ID, 83201-5091. NPI Number Jonathan D Godfrey M.D. has the Individual type.

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1649474719 NPI number is provided on an as is basis without warranty of any kind. 1649474719 is maintained by the National Plan & Provider Enumeration System. The contents of Jonathan D Godfrey M.D. are for informational purposes only.