Mountain State Family Medicine, PC
NPI #1710917612 in Grangeville, Idaho
Provider Information
- NPI Number
- 1710917612
- Entity Type
- Organization
- Organization Name
- Mountain State Family Medicine, PC
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Jul 4, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 610 NW 2ND ST
- City
- Grangeville
- State
- Idaho
- ZIP Code
- 83530-1244
- Phone
- (208) 983-5120
Authorized Official
- Name
- LEANNE L LEBLANC, M.D.
- Title
- PRESIDENT
- Phone
- (208) 983-5120
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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