Prism Family Medicine LLC

NPI #1942028592 in Pocatello, Idaho

Provider Information

NPI Number: 1942028592
Entity Type: Organization
Organization Name: Prism Family Medicine LLC
Primary Specialty: Family Medicine
Enumeration Date: Oct 2, 2024
Last Updated: Oct 3, 2024

Practice Location

Address: 1950 E CLARK ST STE 100
City: Pocatello
State: Idaho
ZIP Code: 83201-3315
Phone: (208) 806-4581

Authorized Official

Name: DR. JESSICA J ROLYNN, MD
Title: OWNER
Phone: (208) 806-4581

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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