# RIGBY FAMILY MEDICINE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609499094
- **Authorized official:** STEVEN JARED POTTER MD (OWNER/PRESIDENT)
- **Authorized official phone:** (208) 745-3500

## Contact information

- **Practice address:** 480 RIGBY LAKE DRIVE, RIGBY, ID 83442-0000
- **Practice address phone:** (208) 745-3500
- **Practice address fax:** (208) 745-3501
- **Mailing address:** 480 RIGBY LAKE DRIVE, RIGBY, ID 83442-0000
- **Mailing address phone:** (208) 745-3500
- **Mailing address fax:** (208) 745-3501

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/20/2020
- **Last updated:** 05/20/2020