Organization
FAMILY MEDICINE HUB PLLC
Active
Other names
Blair Family Medicine, Blair Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
SHELLY CAMERON (PRACTICE MANAGER)
(208) 357-4633
Entity
Organization
Contact information
Practice address
2001 S WOODRUFF AVE STE 15B, IDAHO FALLS, ID 83404-6372
(208) 357-4633
(208) 419-0690
Mailing address
2001 S WOODRUFF AVE STE 15B, IDAHO FALLS, ID 83404-6372
(208) 357-4633
(208) 419-0690
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1629128483
—
ID
Enumeration date
02/26/2018
Last updated
11/12/2024
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