Gwendoline Fonebi, M.D.
Internal Medicine, Medical Oncology in Pocatello, ID. Individual provider (NPI-1).
NPI number1184911141
StatusActive
Last updated in NPPESJul 31, 2025
Details
- NPI
- 1184911141
- Entity type
- Individual (NPI-1)
- Name
- Gwendoline Fonebi
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 28, 2011
- Certification date
- May 27, 2021
- Last updated
- Jul 31, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RX0202X | Internal Medicine, Medical Oncology | 2061778 | ID | Yes |
| 207R00000X | Internal Medicine | 2061778 | ID | |
| 207R00000X | Internal Medicine | 2018-02128 | NC | |
| 207RX0202X | Internal Medicine, Medical Oncology | 2018-02128 | NC |
Practice location
777 Hospital WayPocatello, ID 83201-5147
Phone 208-239-1720 · Fax 208-239-1726
Mailing address
P.O. Box 4168Pocatello, ID 83205-4168
Phone 208-239-1035 · Fax 208-239-3626
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