Organization · Type 2 NPI

Idaho State University

Family Medicine Physician · Pocatello, ID

NPI number 1801292115 Active

Practice location

921 S 8th Ave Stop 8173, Sports And Orthopaedic Center
Pocatello, ID 83209-8173

Call (208) 282-3408 Map

Mailing address

5050 Spring Valley Rd
Dallas, TX 75244-3995

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	None listed
Sports Medicine (Family Medicine) Physician	207QS0010X	None listed
Orthopaedic Surgery Physician	207X00000X	None listed
Sports Medicine (Orthopaedic Surgery) Physician	207XX0005X	None 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.

2 other providers at this address

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About NPI 1801292115

Idaho State University's National Provider Identifier is 1801292115, issued on Nov 13, 2014. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Pocatello, ID. The record was last updated on Nov 13, 2014.