HERITAGE PHYSICIAN AND RESOURCE GROUP LLC NPI 1962896027

NPI Information

HERITAGE PHYSICIAN AND RESOURCE GROUP LLC is a general practice in Pocatello, ID. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee HERITAGE PHYSICIAN AND RESOURCE GROUP LLC NPI is 1962896027. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1009 W QUINN RD
POCATELLO, ID
ZIP 83202-425
Phone: (208) 238-0088
Fax: (208) 238-0055

The provider's authorized official is Daniel Frasure .
The authorized official title is Managing Partner and has the following contact phone number (801) 698-8927.

The enumeration date for this NPI number is 3/26/2015 and was last updated on 4/3/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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