specializing in family medicine in Blackfoot, Idaho

NPI: 1295502995

Provider Type

2

Practice Locations

Mailing Location

98 POPLAR ST

BLACKFOOT, ID 83221

📞 2087823763

📠 2087858529

Practice Location

4750 YELLOWSTONE AVE STE A

POCATELLO, ID 83202

📞 2082331720

📠 2082332161

Provider Information

Gender:
Sole Proprietor:No
Enumeration Date:12/4/2023
Last Updated:5/9/2024

Credentials

Primary Credential:
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