| Portneuf Valley Family Center | |
|
2055 Garrett Way Suite 1 Pocatello ID 83201-5100 | |
| (208) 233-7832 | |
| Not Available |
| Full Name | Portneuf Valley Family Center |
|---|---|
| Speciality | Counselor |
| Location | 2055 Garrett Way, Pocatello, Idaho |
| Authorized Official Name and Position | Joe Arzola (PRESIDENT) |
| Authorized Official Contact | 2082337832 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Portneuf Valley Family Center Po Box 4908 Pocatello ID 83205-4908 Ph: (208) 233-7832 | Portneuf Valley Family Center 2055 Garrett Way Suite 1 Pocatello ID 83201-5100 Ph: (208) 233-7832 |
| NPI Number | 1114129798 |
|---|---|
| Provider Enumeration Date | 06/05/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114129798 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
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