IndividualActive
Richard Wathne, MD
NPI 1033296330 · Sports Medicine (Orthopaedic Surgery) Physician · Pocatello, ID
Provider details
- NPI number
- 1033296330
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Orthopaedic Surgery) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- M6663 (ID)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
2240 E Center St
Pocatello, ID 83201-2600
Phone: (208) 233-2100
Fax: (208) 233-3146
Approximate (ZIP-level) locationGet directions
Mailing address
2240 E Center St
Pocatello, ID 83201-2600
Registry dates
- Enumerated
- 2006-11-01
- Last updated
- 2021-09-07
- Certified
- 2021-09-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.