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Individual

JONATHAN CREE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
POCATELLO (ISU) FAMILY MEDICINE, 465 MEMORIAL DRIVE, POCATELLO, ID 83209-0001
(208) 282-4700
(208) 282-4696
Mailing address
POCATELLO (ISU) FAMILY MEDICINE, 465 MEMORIAL DRIVE, POCATELLO, ID 83209-0001
(208) 282-4700
(208) 282-4696

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M6974
ID

Other

Enumeration date
08/31/2005
Last updated
09/29/2011
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