Rencher Family Practice, PA
NPI #1902048879 in Idaho Falls, Idaho
Provider Information
- NPI Number
- 1902048879
- Entity Type
- Organization
- Organization Name
- Rencher Family Practice, PA
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Mar 24, 2009
- Last Updated
- Mar 24, 2009
Practice Location
- Address
- 2610 CHANNING WAY
- City
- Idaho Falls
- State
- Idaho
- ZIP Code
- 83404-7517
- Phone
- (208) 523-0888
Authorized Official
- Name
- DR. MARK B RENCHER, M.D.
- Title
- PHYSICIAN
- Phone
- (208) 523-0888
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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