# FAMILY PRACTICE GROUP, P.A.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** InterMountain Medical Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205869310
- **Authorized official:** SHELLY STRANSKI (ADMINISTRATOR)
- **Authorized official phone:** (208) 238-1000

## Contact information

- **Practice address:** 1951 BENCH RD, SUITE B, POCATELLO, ID 83201-2073
- **Practice address phone:** (208) 238-1000
- **Practice address fax:** (238) 238-0009
- **Mailing address:** 1951 BENCH RD, SUITE B, POCATELLO, ID 83201-2073
- **Mailing address phone:** (208) 238-1000
- **Mailing address fax:** (238) 238-0009

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207N00000X | Dermatology Physician | — | NULL | — |
| 207N00000X | Dermatology Physician | — | — | — |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 261QR0404X | Cardiac Rehabilitation Clinic/Center | — | NULL | — |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |

## Other

- **Enumeration date:** 07/09/2006
- **Last updated:** 08/11/2026