| NPI | 1992032098 |
|---|---|
| Doing Business As | POCATELLO FAMILY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | JOHN ABREU Administrative Director 208-239-2110 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care |
| Enumeration Date | 2009-11-10 |
| Last Update Date | 2010-03-02 |