Organization
FAMILY PRACTICE GROUP, P.A.
Active
Parent organization
FAMILY PRACTICE GROUP, P.A.
Other names
Intermountain Medical Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
FAMILY PRACTICE GROUP, P.A.
Authorized official
JANETTE ROPICKY (CPC)
(208) 238-1000
Entity
Organization
Contact information
Practice address
1951 BENCH RD STE D, POCATELLO, ID 83201-2073
(208) 238-1000
(208) 238-0009
Mailing address
1951 BENCH RD STE B, POCATELLO, ID 83201-2073
(208) 238-1000
(208) 238-0009
Taxonomy
Speciality
Code
Description
License number
State
261QR0404X
Cardiac Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
12/02/2024
Last updated
09/24/2025
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