Rexburg Family Medical Center, Pllc

NPI #1285700377 in Rexburg, Idaho

Provider Information

NPI Number
1285700377
Entity Type
Organization
Organization Name
Rexburg Family Medical Center, Pllc
Primary Specialty
Clinic/Center - Primary Care
Enumeration Date
Nov 28, 2006
Last Updated
Sep 20, 2010

Practice Location

Address
1 PROFESSIONAL PLZ
State
Idaho
ZIP Code
83440-2024
Phone
(208) 356-9231

Authorized Official

Name
DR. MICHAEL M PACKER, M.D.
Title
OWNER
Phone
(208) 356-9231

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Primary CarePrimary Care

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