Individual
JOSH SIRUCEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1582 ELK CREEK DR, IDAHO FALLS, ID 83404-8322
(208) 213-5256
Mailing address
1582 ELK CREEK DR, IDAHO FALLS, ID 83404-8322
(208) 213-5256
(877) 682-5081
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
DO05204
IA
207Q00000X
Family Medicine Physician
Primary
DO208318
OR
Other
Enumeration date
05/22/2014
Last updated
04/01/2026
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