| NPI | 1134592017 |
|---|---|
| Doing Business As | MADISON MEMORIAL REXBURG MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | RACHEL GONZALES Chief Executive Officer 208-359-6900 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: ID 40) |
| Enumeration Date | 2015-11-02 |
| Last Update Date | 2023-10-23 |