DR. Gordon Scott Bontrager, MD

NPI #1780919829 in Preston, Idaho

Provider Information

NPI Number: 1780919829
Entity Type: Individual
Name: DR. Gordon Scott Bontrager, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: Oct 7, 2009
Last Updated: Jan 29, 2025

Practice Location

Address: 43 N 1ST E
City: Preston
State: Idaho
ZIP Code: 83263-1325
Phone: (208) 648-4771

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary
Physician Assistant	363A00000X

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