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Dr. Gordon Scott Bontrager, MD
Family Medicine Physician in Pocatello, Idaho
NPI 1780919829

Gordon Scott Bontrager is a Family Medicine Physician based in Preston, ID. Gordon Scott Bontrager practices in Pocatello, ID and has the professional credentials of MD. The NPI Number for Gordon Scott Bontrager is 1780919829 and holds a License No. 2119 (Idaho).

The current practice location address for Gordon Scott Bontrager is 465 Memorial Dr, Pocatello, ID and can be reached out via phone at 208-234-4700 and via fax at 208-282-4696. You can also correspond with Gordon Scott Bontrager through the mailing address at 43 N 1ST E, PRESTON, ID - 83263-1325 (mailing address contact number: 208-648-4771).

Location: 465 Memorial Dr, Pocatello, ID, 83263-1325
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Provider Profile Details
NPI Number
1780919829
Provider Name
Gordon Scott Bontrager
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
465 Memorial Dr, Pocatello, ID, 83263-1325
Phone Number
208-234-4700
Fax Number
208-282-4696
Provider Enumeration Date
10/07/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
15285357 05 TN
1780919829 05 VA
MRM-1734 01 ID IDAHO BOARD OF MEDICINE - RESIDENCY
P01478459 01 TN RAIDROAD MEDICARE
PA-2119 01 ID IDAHO BOARD OF MEDICINE - PA
institution
Provider Business Practice Location Address Details
Address
465 Memorial Dr
City
State
Zip
83201
Phone Number
208-234-4700
Fax Number
208-282-4696
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Provider Business Mailing Address Details
Address
465 Memorial Dr
City
State
Zip
83201
Phone Number
208-234-4700
Fax Number
208-282-4696
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Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
License No.
MRM-1734 (Idaho)
Definition
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.
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Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
License No.
2119 (Tennessee)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
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