institution
Phs Md #2, Llc
Multi-Specialty Clinic/Center in Pocatello, Idaho
NPI 1760719454

Phs Md #2, Llc is a Multi-Specialty Clinic/Center based in Pocatello, ID and is specialized in Multi-Specialty. Phs Md #2, Llc practices in Pocatello, ID. The NPI Number for Phs Md #2, Llc is 1760719454 and holds a License No. (Idaho).

The current practice location address for Phs Md #2, Llc is 651 Memorial Dr, Pocatello, ID and can be reached out via phone at 208-239-2110 and via fax at 208-239-2145.

Location: 651 Memorial Dr, Pocatello, ID, 83205-4168
institution
Provider Profile Details
NPI Number
1760719454
Provider Name
Phs Md #2, Llc
Credential
Provider Entity Type
Organization
Address
651 Memorial Dr, Pocatello, ID, 83205-4168
Phone Number
208-239-2110
Fax Number
208-239-2145
Provider Enumeration Date
11/17/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
651 Memorial Dr
City
State
Zip
83201-4071
Phone Number
208-239-2110
Fax Number
208-239-2145
person
Provider Business Mailing Address Details
Address
651 Memorial Dr
City
State
Zip
83201-4071
Phone Number
208-239-2110
Fax Number
208-239-2145
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Multi-Specialty
Taxonomy
License No.
(Idaho)
Definition
Definition to come...
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