Prism Family Medicine Llc | |
1950 E Clark St Ste 100 Pocatello ID 83201-3315 | |
(208) 806-4581 | |
(208) 837-3010 |
Full Name | Prism Family Medicine Llc |
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Speciality | Family Medicine |
Location | 1950 E Clark St Ste 100, Pocatello, Idaho |
Authorized Official Name and Position | Jessica J Rolynn (OWNER) |
Authorized Official Contact | 2088064581 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Prism Family Medicine Llc 1950 E Clark St Ste 100 Pocatello ID 83201-3315 Ph: () - | Prism Family Medicine Llc 1950 E Clark St Ste 100 Pocatello ID 83201-3315 Ph: (208) 806-4581 |
NPI Number | 1942028592 |
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Provider Enumeration Date | 10/02/2024 |
Last Update Date | 10/03/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1942028592 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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