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WILLIAM HUNEYCUTT M.D. NPI 1003800699

Classification
Neurological Surgery
Type
License No.
M7793
License State
ID
Certified
Location

Additional Identifiers

Medical School
VIRGINIA COMMONWEALTH UNIVERSITY, SCHOOL OF MEDICINE
Graduation Year
1993
Identifier
Type
State
Identifier: 805492000
Type: MEDICAID (05)
State: ID
Identifier: 1142102
Type: MEDICARE ID-TYPE UNSPECIFIED (04)
State: ID
Identifier: H02655
Type: MEDICARE UPIN (02)
State: ID

Hospital & Clinics

Business Name
Company Size
Revenue
Business Address
2240 E CENTER ST, POCATELLO, ID, 83201
Business Phone
208-233-8344
Mailing Address
2240 E CENTER ST, POCATELLO, ID, 83201
Mailing Phone
208-233-8344
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