IDAHO MODERN MEDICINE - PLLC

Family Medicine Physician

NPI: 1184255754Organization

Specialties, Licenses & Credentials

Family Medicine PhysicianPrimary

Family Medicine

Code: 207Q00000X

Contact & Hours

Address: 1000 POCATELLO CREEK RD STE E10
POCATELLO, ID 83201
Phone: (208) 317-5371

Quick Facts

NPI: 1184255754
Entity Type: Organization
Medicare: Not confirmed
Specialties: 1
Locations: 1

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