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

DR. JONATHAN D GODFREY, M.D.

Active

DR. JONATHAN D GODFREY, M.D. is a Gastroenterology healthcare provider located in POCATELLO, Idaho. NPI 1649474719 is currently active in the NPPES registry. Verify at CMS.

Gastroenterology · POCATELLO, ID

Registration Details

NPI Number
1649474719
Provider Type
Individual
Gender
Male
NPI Issued
Jun 13, 2007 (19.150872806838 yrs)
Last Updated
Jun 25, 2013
Licenses
M-11289 (ID)
2010012205 (MO)

Practice Information

Address
1151 HOSPITAL WAY
BUILDING A
POCATELLO, ID, 832015091
Browse ID providers · Browse ZIP 83201
Phone
2082326616
Fax
2082326618
Primary Specialty
Gastroenterology
207RG0100X
Additional Specialty
Gastroenterology

Other Gastroenterology Providers in POCATELLO, ID

Name Credential NPI
DARRYL BRUCE COOK M.D. 1972525111
THOMAS VANCE DAVIS D.O. 1295757433
CHARLES BARCLAY EVANS M.D. 1992727143
DR. BRANDON SCOTT D.O. 1972980548
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.