Organization
PRESTON FAMILY MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK H GIBBY M. D. (DOCTOR/ OWNER)
(208) 852-3755
Entity
Organization
Contact information
Practice address
45 N 1ST E, PRESTON, ID 83263-1325
(208) 852-3755
(208) 852-3774
Mailing address
45 N 1ST E, PRESTON, ID 83263-1325
(208) 852-3755
(208) 852-3774
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M5660
ID
Other
Enumeration date
08/26/2010
Last updated
08/26/2010
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