Machen Family Medicine, PC
NPI #1013204445 in Idaho Falls, Idaho
Provider Information
- NPI Number
- 1013204445
- Entity Type
- Organization
- Organization Name
- Machen Family Medicine, PC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- MACHEN FAMILY MEDICINE, PC
- Primary Specialty
- Family Medicine
- Enumeration Date
- Jul 6, 2011
- Last Updated
- Apr 26, 2012
Practice Location
- Address
- 1995 E 17TH ST STE A
- City
- Idaho Falls
- State
- Idaho
- ZIP Code
- 83404-6493
- Phone
- (208) 522-7666
Authorized Official
- Name
- SHANE G MACHEN, DO
- Title
- OWNER
- Phone
- (208) 522-7666
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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