Specialized Family Medicine

NPI #1124197702 in Pocatello, Idaho

Provider Information

NPI Number: 1124197702
Entity Type: Organization
Organization Name: Specialized Family Medicine
Primary Specialty: Family Medicine
Enumeration Date: Nov 7, 2006
Last Updated: Jul 21, 2022

Practice Location

Address: 151 N 4TH AVE
Address 2: SUITE B
City: Pocatello
State: Idaho
ZIP Code: 83201-6300
Phone: (208) 369-7147

Authorized Official

Name: JORDAN L BAILEY, MD
Title: PHYSICIAN OWNER
Phone: (208) 269-7147

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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