IndividualActive
Jacob Delarosa, MD
NPI 1083759880 · Cardiovascular Disease Physician · Pocatello, ID
Provider details
- NPI number
- 1083759880
- Entity type
- Individual
- Primary specialty
- Cardiovascular Disease PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- M9019 (ID)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
651 Memorial Dr
Pocatello, ID 83201-4071
Phone: (208) 239-1000
Approximate (ZIP-level) locationGet directions
Mailing address
777 Hospital Way Ste 215
Pocatello, ID 83201-5162
Registry dates
- Enumerated
- 2007-02-20
- Last updated
- 2014-03-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.