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Organization

MERIDIAN FAMILY MEDICINE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. NATALIA A DUNN NP (OWNER)
(208) 530-1087
Entity
Organization

Contact information

Practice address
444 HOSPITAL WAY, ROOM 219, POCATELLO, ID 83209-2745
(208) 530-1087
(888) 415-9555
Mailing address
ISU RIDGE CRST, APT L2, POCATELLO, ID 83209-0001
(208) 530-1087
(888) 415-9555

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
ID

Other

Enumeration date
04/13/2015
Last updated
04/30/2015
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