IndividualActive
Dale Belnap, PA-C
NPI 1962832923 · Surgical Physician Assistant · Pocatello, ID
Provider details
- NPI number
- 1962832923
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- License
- TLP-019 (ID)
Practice location
444 Hospital Way Ste 710
Pocatello, ID 83201-2745
Phone: (208) 235-4263
Fax: (208) 233-4268
Mailing address
444 Hospital Way Ste 710
Pocatello, ID 83201-2745
Registry dates
- Enumerated
- 2013-11-12
- Last updated
- 2018-03-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.