Pocatello Family Medicine

NPI #1760739973 in Pocatello, Idaho

Provider Information

NPI Number: 1760739973
Entity Type: Organization
Organization Name: Pocatello Family Medicine
Primary Specialty: Clinic/Center - Primary Care
Enumeration Date: Aug 7, 2012
Last Updated: Aug 7, 2012

Practice Location

Address: 465 MEMORIAL DRIVE
City: Pocatello
State: Idaho
ZIP Code: 83201-4008
Phone: (208) 282-4700

Authorized Official

Name: ROSE JOHNSON
Title: OFFICE MANAGER
Phone: (208) 282-4421

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Primary Care — Primary Care	261QP2300X	Primary

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