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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ROBERTA LOUISE COLE, CRT

Active

2278G1100X · POCATELLO, ID

Registration Details

NPI Number
1164692190
Provider Type
Individual
Gender
Female
NPI Issued
Mar 5, 2008 (18.132955350507 yrs)
Last Updated
Mar 5, 2008
Licenses
LRT-1077 (ID)
LRT-1077 (ID)
LRT-1077 (ID)
LRT-1077 (ID)
LRT-1077 (ID)

Practice Information

Address
651 MEMORIAL DR
POCATELLO, ID, 832014071
Browse ID providers · Browse ZIP 83201
Phone
2082391372
Primary Specialty
2278G1100X
2278G1100X
Additional Specialty
2278C0205X
Additional Specialty
2278E0002X
Additional Specialty
2278G0305X
Additional Specialty
2278H0200X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.