OrganizationActive
Endobiogenic Integrative Medical Center
NPI 1821239781 · Nutritionist · Pocatello, ID
Provider details
- NPI number
- 1821239781
- Entity type
- Organization
- Primary specialty
- NutritionistDietary & Nutritional Service Providers
- Organization subpart
- No
- Authorized official
- Annette Davis, Administrator(208) 478-8400
Specialties & taxonomies
Dietary & Nutritional Service Providers
Practice location
357 W Center St Ste 204
Pocatello, ID 83204-3236
Phone: (208) 478-8400
Fax: (208) 232-6018
Approximate (ZIP-level) locationGet directions
Mailing address
357 W Center St Ste 204
Pocatello, ID 83204-3236
Registry dates
- Enumerated
- 2009-03-23
- Last updated
- 2009-03-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.