Rocky Mountain Physician Group LLC

NPI #1851808133 in Pocatello, Idaho

Provider Information

NPI Number: 1851808133
Entity Type: Organization
Organization Name: Rocky Mountain Physician Group LLC
Subpart: Yes (part of a larger organization)
Parent Organization: ROCKY MOUNTAIN EMERGENCY PHYSICIANS, LLC
Primary Specialty: Emergency Medicine
Enumeration Date: Jan 8, 2018
Last Updated: Nov 5, 2018

Practice Location

Address: 777 HOSPITAL WAY
City: Pocatello
State: Idaho
ZIP Code: 83201-5175
Phone: (480) 421-9700

Authorized Official

Name: DANIEL DALLON, MD
Title: MANAGER
Phone: (480) 374-7200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine	207P00000X	Primary

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