Id Sds Ii Pllc

Specialty details in registry · Pocatello, ID

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At a glance

625 E Alameda Rd, Pocatello, ID 83201-3622

NPPES record updated Mar 5, 2025. Public records can lag behind changes at a practice.

Before you call: a quick checklist
  • Are you accepting new patients?
  • Do you accept my specific insurance plan?
  • Do you provide the service I need at this address?
  • Do I need a referral, and what is the earliest appointment?

Insurance participation and appointment availability are not established by these public records.

Practice location

625 E Alameda Rd
Pocatello, ID 83201-3622

Additional reported practice locations

1541 S Timesquare Ln
Boise, ID 837098266
Phone: 2083217006
371 E Chubbuck Rd Ste 2
Chubbuck, ID 832021817
Phone: 2082370005
309 S. 3Rd St. W
Soda Springs, ID 83276
Phone: 2082370005
309 S. 3Rd St. W
Soda Springs, ID 83276
Phone: 2082370005
1169 Parkway Dr
Blackfoot, ID 832211652
Phone: 2082370005
150 S Main St Apt 16
Malad City, ID 832521405
Phone: 2082370005
450 E State St
Eagle, ID 836165030
Phone: 2089392311
Professional details: NPI, taxonomy & registry record
NPI1861265647
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
1223X0400X
Enumeration date
Nov 2, 2023
Record updated
Mar 5, 2025
More registry details
Provider type
Organization · Type 2
Other reported name
<UNAVAIL>

Reported taxonomies and licenses

Specialty details in registry

1223X0400X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

625 E Alameda Rd
Pocatello, ID 83201-3622
Phone
(208) 237-0005
Mailing address
1610 54TH AVE N STE 205

NASHVILLE, TN 372091442
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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