Organization · Type 2 NPI

PHS MD #1, LLC

Primary Care Clinic/Center · Pocatello, ID

NPI number 1992032098 Active

Practice location

465 Memorial Dr
Pocatello, ID 83201-4008

Call (208) 239-2110 Map

Fax (208) 239-2145

Mailing address

PO Box 4728
Pocatello, ID 83205-4728

Specialties and licenses

TaxonomyCodeLicense
Primary Care Clinic/Center Primary 261QP2300XNone listed

Primary Care Clinic/Center: Definition to come...

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About NPI 1992032098

PHS MD #1, LLC's National Provider Identifier is 1992032098, issued on Nov 10, 2009. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Pocatello, ID. The record was last updated on Mar 2, 2010.