SPECIALIZED FAMILY MEDICINE NPI 1124197702

NPI Information

SPECIALIZED FAMILY MEDICINE is a family medicine in Pocatello, ID. The provider is 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. SPECIALIZED FAMILY MEDICINE NPI is 1124197702. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

151 N 4TH AVE
SUITE B
POCATELLO, ID
ZIP 83201-300
Phone: (208) 369-7147
Fax: (208) 416-6522

The provider's authorized official is Jordan L Bailey .
The authorized official title is Physician Owner and has the following contact phone number (208) 269-7147.

The enumeration date for this NPI number is 11/7/2006 and was last updated on 2/12/2013.

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:

Other Identifiers

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