| Rocco P. Cifrese, Md And Sara A. Cifrese, Md Pa | |
|
1995 E 17th St Idaho Falls ID 83404-6493 | |
| (208) 522-7666 | |
| (208) 524-2821 |
| Full Name | Rocco P. Cifrese, Md And Sara A. Cifrese, Md Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 1995 E 17th St, Idaho Falls, Idaho |
| Authorized Official Name and Position | Rocco P Cifrese (OWNER) |
| Authorized Official Contact | 2085227666 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rocco P. Cifrese, Md And Sara A. Cifrese, Md Pa 1995 E 17th St Idaho Falls ID 83404-6493 Ph: (208) 522-7666 | Rocco P. Cifrese, Md And Sara A. Cifrese, Md Pa 1995 E 17th St Idaho Falls ID 83404-6493 Ph: (208) 522-7666 |
| NPI Number | 1821115205 |
|---|---|
| Provider Enumeration Date | 03/23/2007 |
| Last Update Date | 02/01/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821115205 | NPI | - | NPPES |
| 002429600 | Medicaid | ID | |
| 012157409 | Other | ID | PALMETTO GBA |
| 002429800 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | M2932 & M2933 (Idaho) | Primary |
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Imed Hrs Idaho Falls Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3100 Channing Way, Idaho Falls, ID 83404 Phone: 801-507-3500 | |
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