OrganizationActive
Southeast Idaho Gastroenterology,pllc
NPI 1295754265 · Gastroenterology Physician · Pocatello, ID
Provider details
- NPI number
- 1295754265
- Entity type
- Organization
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Darryl Cook, Member
Practice location
1151 Hospital Way Bldg a
Pocatello, ID 83201-2763
Phone: (208) 232-6616
Fax: (208) 232-6618
Mailing address
Po Box 4788
Pocatello, ID 83205-4788
Registry dates
- Enumerated
- 2006-07-19
- Last updated
- 2012-09-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.