Phs MD #2, LLC
NPI #1760719454 in Pocatello, Idaho
Provider Information
- NPI Number
- 1760719454
- Entity Type
- Organization
- Organization Name
- Phs MD #2, LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- POCATELLO HEALTH SERVICES, LLC
- Primary Specialty
- Clinic/Center - Multi-Specialty
- Enumeration Date
- Nov 17, 2009
- Last Updated
- Mar 2, 2010
Practice Location
Authorized Official
- Name
- JOHN ABREU
- Title
- CFO
- Phone
- (208) 239-2110
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Multi-Specialty — Multi-Specialty |
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