NPI age
18 years
Enumerated 2007-12-17
● Active Type 2 · Organization
Southeast Idaho Gastroenterology, Pllc
Southeast Idaho Gastroenterology, Pllc is 1 of 387 physician assistant organizations in Idaho.
Primary specialty
Physician Assistant
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Ferrel
Practice Manager
Last NPPES update
2007-12-17
Source: monthly bulk 2026-05
How this organization compares
Across 387 active physician assistant providers in Idaho.
NPI age
18 years
↑ 3 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2007 → 2026
2007-12Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
1151 Hospital Way Ste A
Pocatello, ID 832015091
Mailing address
1151 Hospital Way Ste A
Pocatello, ID 832015091
Authorized official
Debbie J Ferrel
Practice Manager
📞 2082326616
Specialties
-
Physician Assistant PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 806196200 |
Practice context
Single-site organization. Only one practice location on file.
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