institution
Phs Md #1, Llc
Primary Care Clinic/Center in Pocatello, Idaho
NPI 1992032098

Phs Md #1, Llc is a Primary Care Clinic/Center based in Pocatello, ID and is specialized in Primary Care. Phs Md #1, Llc practices in Pocatello, ID. The NPI Number for Phs Md #1, Llc is 1992032098 and holds a License No. (Idaho).

The current practice location address for Phs Md #1, Llc is 465 Memorial Dr, Pocatello, ID and can be reached out via phone at 208-239-2110 and via fax at 208-239-2145.

Location: 465 Memorial Dr, Pocatello, ID, 83205-4728
institution
Provider Profile Details
NPI Number
1992032098
Provider Name
Phs Md #1, Llc
Credential
Provider Entity Type
Organization
Address
465 Memorial Dr, Pocatello, ID, 83205-4728
Phone Number
208-239-2110
Fax Number
208-239-2145
Provider Enumeration Date
11/10/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
465 Memorial Dr
City
State
Zip
83201-4008
Phone Number
208-239-2110
Fax Number
208-239-2145
person
Provider Business Mailing Address Details
Address
465 Memorial Dr
City
State
Zip
83201-4008
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
Primary Care
Taxonomy
License No.
()
Definition
Definition to come...
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