| NPI | 1689621294 |
|---|---|
| Doing Business As | FAMILY CARE CLINIC OF IDAHO FALLS |
| Entity Type | Organization |
| Authorized Contact | BRIAN JOSEPH DECKER Partner 208-523-3436 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ID NP616A) |
| Enumeration Date | 2006-05-28 |
| Last Update Date | 2020-08-22 |