Southeastern Idaho Medical Clinics
NPI #1982738662 in Malad City, Idaho
Provider Information
- NPI Number
- 1982738662
- Entity Type
- Organization
- Organization Name
- Southeastern Idaho Medical Clinics
- Primary Specialty
- Family Medicine
- Enumeration Date
- Mar 15, 2007
- Last Updated
- Sep 11, 2025
Practice Location
- Address
- 230 W 200 N
- City
- Malad City
- State
- Idaho
- ZIP Code
- 83252-1109
- Phone
- (208) 766-2267
Authorized Official
- Name
- STEPHEN CHARLES JOHNSON, D.O.
- Title
- MEDICAL DIRECTOR
- Phone
- (208) 766-2267
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Rural Health — Rural Health |
| Family Medicine |
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