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921 S 8th Ave Stop 8173 Sports And Orthopaedic Center Pocatello ID 83209-8173 | |
| (208) 282-3408 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Family Medicine |
| Location | 921 S 8th Ave Stop 8173, Pocatello, Idaho |
| Authorized Official Name and Position | Jodi Wotowey (HEAD ATHLETIC TRAINER) |
| Authorized Official Contact | 2082823408 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
5050 Spring Valley Rd Dallas TX 75244-3995 Ph: (800) 555-9073 | 921 S 8th Ave Stop 8173 Sports And Orthopaedic Center Pocatello ID 83209-8173 Ph: (208) 282-3408 |
| NPI Number | 1801292115 |
|---|---|
| Provider Enumeration Date | 11/13/2014 |
| Last Update Date | 11/13/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801292115 | NPI | - | NPPES |
Community Care, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1595 Yellowstone Ave, Pocatello, ID 83201 Phone: 208-233-0032 | |
Health West, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1001 N 7th Ave Ste 135, Pocatello, ID 83201 Phone: 208-232-7862 | |
Health West, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 955 W Alameda Rd, Pocatello, ID 83201 Phone: 208-237-2233 | |
Mountain View Family Medicine, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2006 Birdie Thompson Dr, Pocatello, ID 83201 Phone: 208-232-1132 Fax: 208-232-1134 |