Organization
ISU FAMILY MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN CREE M.D. (PROGRAM DIRECTOR)
(208) 282-3253
Entity
Organization
Contact information
Practice address
465 MEMORIAL DR, POCATELLO, ID 83201-4008
(208) 282-4700
(208) 282-4818
Mailing address
465 MEMORIAL DR, POCATELLO, ID 83201-4008
(208) 282-4700
(208) 282-4818
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MRM-1245
ID
Other
Enumeration date
06/20/2012
Last updated
06/20/2012
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