Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Family Practice Group, PA

Organization Dermatology Physician · NPI 1205869310

Family Practice Group, PA is a Dermatology Physician in Pocatello, Idaho. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
3
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1951 Bench Rd Ste B
Pocatello, ID 83201-2073
Phone: (208) 238-1000
Fax: (238) 238-0009
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Dermatology Physician Taxonomy 207N00000X
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1205869310
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shelly Stranski — Administrator · (208) 238-1000
Other names Intermountain Medical Clinic
NPI enumeratedJuly 9, 2006
Last updated in NPPESNovember 26, 2024
Certification dateNovember 26, 2024
Mailing address1951 Bench Rd, Suite B, Pocatello, ID 83201-2073

Other providers in Pocatello