Teton Medical Group Pllc

NPI #1154502615 in Rexburg, Idaho

Provider Information

NPI Number: 1154502615
Entity Type: Organization
Organization Name: Teton Medical Group Pllc
Primary Specialty: Family Medicine
Enumeration Date: Nov 26, 2007
Last Updated: Jul 16, 2008

Practice Location

Address: 32 W 1ST S
City: Rexburg
State: Idaho
ZIP Code: 83440-1810
Phone: (208) 356-7585

Authorized Official

Name: RICHARD THOMAS JONES, M.D.
Title: OWNER
Phone: (208) 356-7585

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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