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Primary Care Specialists, Pa
Primary Care Clinic/Center in Pocatello, Idaho
NPI 1508875881

Primary Care Specialists, Pa is a Primary Care Clinic/Center based in Pocatello, ID and is specialized in Primary Care. Primary Care Specialists, Pa practices in Pocatello, ID. The NPI Number for Primary Care Specialists, Pa is 1508875881 and holds a License No. (Idaho).

The current practice location address for Primary Care Specialists, Pa is 110 Vista Drive, Pocatello, ID and can be reached out via phone at 208-234-2300 and via fax at 208-234-0026.

Location: 110 Vista Drive, Pocatello, ID, 83201
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1508875881
Provider Name
Primary Care Specialists, Pa
Credential
Provider Entity Type
Organization
Address
110 Vista Drive, Pocatello, ID, 83201
Phone Number
208-234-2300
Fax Number
208-234-0026
Provider Enumeration Date
08/05/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
805105400 05 ID
institution
Provider Business Practice Location Address Details
Address
110 Vista Drive
City
Pocatello
State
Idaho
Zip
83201
Phone Number
208-234-2300
Fax Number
208-234-0026
person
Provider Business Mailing Address Details
Address
110 Vista Drive
City
Pocatello
State
Idaho
Zip
83201
Phone Number
208-234-2300
Fax Number
208-234-0026
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
()
Definition
Definition to come...
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