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Sophia Lex

Physician Assistant in Pocatello, ID. Individual provider (NPI-1).

NPI number1558089474
StatusActive
Last updated in NPPESDec 9, 2025

Details

NPI
1558089474
Entity type
Individual (NPI-1)
Name
Sophia Lex
Sex
Female
Sole proprietor
No
Enumeration date
Aug 16, 2022
Certification date
Dec 9, 2025
Last updated
Dec 9, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant14190372-1206UTYes

Practice location

921 S 8th Ave Stop 8253
Pocatello, ID 83209-0002

Phone 208-282-4726

Mailing address

921 S 8th Ave Stop 8253
Pocatello, ID 83209-0002

Phone 208-282-4726

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