Specialized Family Medicine
Specialized Family Medicine provides Family Medicine Physician services in Pocatello, Idaho. Licensed in Idaho. Registered with an NPI since 2006.
- Licensed in
- ID
- In the registry since
- 2006
Practice location Address checks out
151 N 4th Ave Ste BPocatello, ID 83201-6300
Phone: (208) 369-7147
Fax: (208) 416-6522
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X (ID) |
|---|
Record details
| NPI number | 1124197702 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jordan Bailey — Physician Owner · (208) 269-7147 |
| NPI enumerated | November 7, 2006 |
| Last updated in NPPES | July 21, 2022 |
| Mailing address | 151 N 4th Ave, Suite B, Pocatello, ID 83201-6300 |
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