Organization
SUNSHINE TELEMEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NATALIE ANN JOHNSON (MANAGER)
(208) 313-2273
Entity
Organization
Contact information
Practice address
805 JEFFERSON AVE, POCATELLO, ID 83201-3625
(208) 238-0400
(208) 238-0401
Mailing address
805 JEFFERSON AVE, POCATELLO, ID 83201-3625
(208) 238-0400
(208) 238-0401
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
11/06/2021
Last updated
12/08/2021
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