IndividualActive
Gregory Kostur, M.D.
NPI 1447316799 · Pediatrics Physician · Pocatello, ID
Provider details
- NPI number
- 1447316799
- Entity type
- Individual
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- N3122 (TX)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
500 S 11th Ave Ste 204
Pocatello, ID 83201-4878
Phone: (208) 232-3355
Fax: (855) 230-7350
Approximate (ZIP-level) locationGet directions
Mailing address
500 S 11th Ave Ste 400
Pocatello, ID 83201-4880
Registry dates
- Enumerated
- 2006-12-29
- Last updated
- 2024-01-06
- Certified
- 2024-01-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.