Preston Family Medicine

NPI #1275849309 in Preston, Idaho

Provider Information

NPI Number: 1275849309
Entity Type: Organization
Organization Name: Preston Family Medicine
Primary Specialty: Family Medicine
Enumeration Date: Aug 26, 2010
Last Updated: Aug 26, 2010

Practice Location

Address: 45 N 1ST E
City: Preston
State: Idaho
ZIP Code: 83263-1325
Phone: (208) 852-3755

Authorized Official

Name: MR. MARK H GIBBY, M. D.
Title: DOCTOR/ OWNER
Phone: (208) 852-3755

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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