RSM PA PLLC NPI 1174711758

NPI Information

RSM PA PLLC is a medical physician assistant in Pocatello, ID. RSM PA PLLC NPI is 1174711758. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Family First Health Centers South.

The provider's business location address is:

1595 BANNOCK HWY
POCATELLO, ID
ZIP 83204
Phone: (208) 238-0400
Fax: (208) 238-0401

The provider's authorized official is Roger Scott Malm .
The authorized official title is Owner and has the following contact phone number (208) 238-0400.

The enumeration date for this NPI number is 10/9/2007 and was last updated on 10/9/2007.

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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