| Clifford Family Medicine | |
|
4742 Yellowstone Ave Pocatello ID 83202-2336 | |
| (208) 251-0316 | |
| (208) 576-6929 |
| Full Name | Clifford Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 4742 Yellowstone Ave, 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 |
|---|---|
| Clifford Family Medicine 98 Poplar St Blackfoot ID 83221-1758 Ph: (208) 785-4100 | Clifford Family Medicine 4742 Yellowstone Ave Pocatello ID 83202-2336 Ph: (208) 251-0316 |
| NPI Number | 1881190650 |
|---|---|
| Provider Enumeration Date | 04/02/2018 |
| Last Update Date | 07/16/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881190650 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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