specializing in family medicine in Blackfoot, Idaho

NPI: 1134621436

Provider Type

2

Practice Locations

Mailing Location

98 POPLAR ST

BLACKFOOT, ID 83221

📞 2087854100

📠 2087858529

Practice Location

353 N 4TH AVE

POCATELLO, ID 83201

📞 2084787900

📠 2084787901

Provider Information

Gender:
Sole Proprietor:No
Enumeration Date:3/2/2018
Last Updated:2/26/2019

Credentials

Primary Credential: