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2302 E Terry St Pocatello ID 83201-2733 | |
| (208) 235-5910 | |
| (208) 235-5920 |
| Full Name | |
|---|---|
| Speciality | Internal Medicine - Endocrinology, Diabetes & Metabolism |
| Location | 2302 E Terry St, Pocatello, Idaho |
| Authorized Official Name and Position | Jacob Erickson (CEO) |
| Authorized Official Contact | 2087853801 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
98 Poplar St Blackfoot ID 83221-1758 Ph: (208) 785-4100 | 2302 E Terry St Pocatello ID 83201-2733 Ph: (208) 235-5910 |
| NPI Number | 1255705786 |
|---|---|
| Provider Enumeration Date | 11/20/2015 |
| Last Update Date | 04/01/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255705786 | NPI | - | NPPES |
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