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1124197702
SPECIALIZED FAMILY MEDICINE
POCATELLO, ID
NPI
1124197702
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Entity Type
Organization
Authorized Contact
JORDAN L BAILEY
Physician Owner
208-269-7147
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2006-11-07
Last Update Date
2022-07-21
Business Address
SPECIALIZED FAMILY MEDICINE
151 N 4TH AVE SUITE B
POCATELLO, ID 83201-6300
Phone number: 208-369-7147
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Mailing Address
SPECIALIZED FAMILY MEDICINE
151 N 4TH AVE SUITE B
POCATELLO, ID 83201-6300
Phone number: 208-369-7147
Copy
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