IDAHO MODERN MEDICINE - PLLC

Family Medicine

Active Organization
NPI: 1184255754

Practice Address

1000 POCATELLO CREEK RD STE E10
Pocatello, ID 83201

Phone: (208) 317-5371

Specialties

Specialty Code Primary License
Family Medicine 207Q00000X Yes -

Frequently Asked Questions

NPI 1184255754 is the National Provider Identifier for IDAHO MODERN MEDICINE - PLLC, a Family Medicine provider located in Pocatello, ID. This NPI was enumerated on January 31, 2020.

Quick Facts

NPI
1184255754
Type
Organization
Enumerated
Jan 31, 2020
Last Updated
Feb 5, 2024

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