| Clifford Family Medicine | |
|
4750 Yellowstone Ave Chubbuck ID 83202-2336 | |
| (208) 251-0316 | |
| Not Available |
| Full Name | Clifford Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 4750 Yellowstone Ave, Chubbuck, Idaho |
| Authorized Official Name and Position | Kyle Layton Clifford (OWNER) |
| Authorized Official Contact | 2082415093 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clifford Family Medicine 1456 Aramis Pocatello ID 83204-5046 Ph: (208) 232-0698 | Clifford Family Medicine 4750 Yellowstone Ave Chubbuck ID 83202-2336 Ph: (208) 251-0316 |
| NPI Number | 1396276945 |
|---|---|
| Provider Enumeration Date | 03/24/2017 |
| Last Update Date | 03/24/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396276945 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | M-9775 (Idaho) | Primary |
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