OrganizationActive
Earl C Chester Jr. MD PA
NPI 1760653059 · Dermatology Physician · Pocatello, ID
Provider details
- NPI number
- 1760653059
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Earl Chester, Owner(208) 232-2107
- License
- M3346 (ID)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
115 S 15th Ave
Suite E
Pocatello, ID 83201-4068
Phone: (208) 232-2107
Approximate (ZIP-level) locationGet directions
Mailing address
115 S 15th Ave
Pocatello, ID 83201-4068
Registry dates
- Enumerated
- 2008-03-14
- Last updated
- 2008-03-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.