Heritage Physician and Resource Group LLC

NPI #1962896027 in Pocatello, Idaho

Provider Information

NPI Number: 1962896027
Entity Type: Organization
Organization Name: Heritage Physician and Resource Group LLC
Primary Specialty: General Practice
Enumeration Date: Mar 26, 2015
Last Updated: Aug 15, 2024

Practice Location

Address: 1009 W QUINN RD
City: Pocatello
State: Idaho
ZIP Code: 83202-2425
Phone: (208) 238-0088

Authorized Official

Name: JONNY RYAN FISHER
Title: CEO
Phone: (208) 238-0088

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X
General Practice	208D00000X	Primary

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