Pocatello Family Medicine
Pocatello Family Medicine provides Primary Care Clinic/Center services in Pocatello, Idaho. Licensed in Idaho. Registered with an NPI since 2012.
- Licensed in
- ID
- In the registry since
- 2012
Practice location Address checks out
465 Memorial DrPocatello, ID 83201-4008 Not confirmed with CMS for 14 years — call before visiting
Phone: (208) 282-4700
Fax: (208) 282-4696
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Primary Care Clinic/Center (primary) | Taxonomy 261QP2300X · Licence NP-1199A (ID) |
|---|
Record details
| NPI number | 1760739973 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Rose Johnson — Office Manager · (208) 282-4421 |
| NPI enumerated | August 7, 2012 |
| Last updated in NPPES | August 7, 2012 |
| Mailing address | 465 Memorial Dr, Pocatello, ID 83201-4008 |
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