REXBURG FAMILY MEDICAL CENTER PLLC NPI 1285700377

NPI Information

REXBURG FAMILY MEDICAL CENTER, PLLC is a primary care clinic center in Rexburg, ID. REXBURG FAMILY MEDICAL CENTER, PLLC NPI is 1285700377. The provider is registered as an organization entity type.
The provider Is Doing Business As Family Medical Center.

The provider's business location address is:

1 PROFESSIONAL PLZ
REXBURG, ID
ZIP 83440-024
Phone: (208) 356-9231
Fax: (208) 356-9141

The provider's authorized official is Michael M Packer .
The authorized official title is Owner and has the following contact phone number (208) 356-9231.

The enumeration date for this NPI number is 11/28/2006 and was last updated on 9/20/2010.

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

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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