Organization · Type 2 NPI
Rencher Family Practice, PA
Primary Care Clinic/Center · Idaho Falls, ID
NPI number
1902048879
Active
Practice location
2610 Channing Way
Idaho Falls, ID 83404-7517
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | M4486 (ID) |
Primary Care Clinic/Center: Definition to come...
Another provider at this address
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About NPI 1902048879
Rencher Family Practice, PA's National Provider Identifier is 1902048879, issued on Mar 24, 2009. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Idaho Falls, ID. The record was last updated on Mar 24, 2009.