Organization · Type 2 NPI

Idaho Modern Medicine - PLLC

Family Medicine Physician · Pocatello, ID

NPI number 1184255754 Active

Practice location

1000 Pocatello Creek Rd Ste E10
Pocatello, ID 83201-2953

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000XNone listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1184255754

Idaho Modern Medicine - PLLC's National Provider Identifier is 1184255754, issued on Jan 31, 2020. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Pocatello, ID. The record was last updated on Feb 5, 2024.