specializing in family medicine in Blackfoot, Idaho

NPI: 1881190650

Provider Type

2

Practice Locations

Mailing Location

98 POPLAR ST

BLACKFOOT, ID 83221

📞 2087854100

Practice Location

4742 YELLOWSTONE AVE

POCATELLO, ID 83202

📞 2082510316

📠 2085766929

Provider Information

Gender:
Sole Proprietor:No
Enumeration Date:4/2/2018
Last Updated:7/16/2024

Credentials

Primary Credential:
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