Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Teton Medical Group PLLC

Organization Family Medicine Physician · NPI 1154502615

Teton Medical Group PLLC provides Family Medicine Physician services in Rexburg, Idaho. Licensed in Idaho. Registered with an NPI since 2007.

Licensed in
ID
In the registry since
2007
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

255 N 3rd E
Rexburg, ID 83440-1629
Phone: (208) 356-7585
Fax: (208) 356-7566
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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 · Licence M-10078 (ID)

Record details

NPI number1154502615
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Richard Jones — Owner · (208) 356-7585
NPI enumeratedNovember 26, 2007
Last updated in NPPESSeptember 15, 2026
Certification dateSeptember 15, 2026
Mailing address255 N 3rd E, Rexburg, ID 83440-1629

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