Preston Family Medicine

NPI #1891406112 in Preston, Idaho

Provider Information

NPI Number
1891406112
Entity Type
Organization
Organization Name
Preston Family Medicine
Primary Specialty
Family Medicine
Enumeration Date
Dec 7, 2022
Last Updated
Mar 1, 2023

Practice Location

Address
43 N 1ST E
State
Idaho
ZIP Code
83263-1325
Phone
(423) 215-6465

Authorized Official

Name
GORDON SCOTT BONTRAGER, MD
Title
OWNER
Phone
(423) 215-6465

Specialties & Taxonomy Codes

Specialty
Family Medicine

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