Healthcare Provider Details

I. General information

NPI: 1841989993
Provider Name (Legal Business Name): JOSEPH CALL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/04/2023
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2850 OLYMPUS DR
POCATELLO ID
83201-2271
US

IV. Provider business mailing address

777 HOSPITAL WAY
POCATELLO ID
83201-5175
US

V. Phone/Fax

Practice location:
  • Phone: 208-239-3815
  • Fax: 208-239-3814
Mailing address:
  • Phone: 208-239-1035
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number2671268
License Number StateID

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: