institution
Michael R Flandro Od Pa
Clinic/Center in Pocatello, Idaho
NPI 1922257823

Michael R Flandro Od Pa is a Clinic/Center based in Pocatello, ID. Michael R Flandro Od Pa practices in Pocatello, ID. The NPI Number for Michael R Flandro Od Pa is 1922257823 and holds a License No. ODP-702 (Idaho).

The current practice location address for Michael R Flandro Od Pa is 360 S Arthur Ave, Pocatello, ID and can be reached out via phone at 208-232-6675 and via fax at 208-232-5800.

Location: 360 S Arthur Ave, Pocatello, ID, 83204-3307
institution
Provider Profile Details
NPI Number
1922257823
Provider Name
Michael R Flandro Od Pa
Credential
Provider Entity Type
Organization
Address
360 S Arthur Ave, Pocatello, ID, 83204-3307
Phone Number
208-232-6675
Fax Number
208-232-5800
Provider Enumeration Date
09/16/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000010015363 01 ID REGENCE BLUE SHIELD OF IDAHO
410039268 01 ID MEDICARE RAILROAD RETIREMENT BOARD
002622900 05 ID
V2811 01 ID BLUE CROSS OF IDAHO
institution
Provider Business Practice Location Address Details
Address
360 S Arthur Ave
City
State
Zip
83204-3307
Phone Number
208-232-6675
Fax Number
208-232-5800
person
Provider Business Mailing Address Details
Address
360 S Arthur Ave
City
State
Zip
83204-3307
Phone Number
208-232-6675
Fax Number
208-232-5800
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
License No.
ODP-702 (Idaho)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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