# RINDFLEISCH FAMILY PRACTICE PLLC

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

## Provider details

- **NPI number:** 1740663806
- **Authorized official:** DR. DALLAS RINDFLEISCH DO (OWNER)
- **Authorized official phone:** (208) 419-8817

## Contact information

- **Practice address:** 4954 E POWERHOUSE DR, IDAHO FALLS, ID 83406-5064
- **Practice address phone:** (208) 419-8817
- **Mailing address:** 4954 E POWERHOUSE DR, IDAHO FALLS, ID 83406-5064
- **Mailing address phone:** (208) 419-8817

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | O-0692 | ID | Yes |

## Other

- **Enumeration date:** 07/07/2015
- **Last updated:** 07/07/2015