Idaho Modern Medicine - PLLC
Idaho Modern Medicine - PLLC is a Family Medicine Physician in Pocatello, Idaho. Registered with an NPI since 2020.
- In the registry since
- 2020
What do these letters mean?
- PLLC — Professional limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1000 Pocatello Creek Rd Ste E10Pocatello, ID 83201-2953
Phone: (208) 317-5371
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X |
|---|
Record details
| NPI number | 1184255754 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Michael Anderson — Physician / Owner · (208) 648-4789 |
| NPI enumerated | January 31, 2020 |
| Last updated in NPPES | February 5, 2024 |
| Certification date | February 5, 2024 |
| Mailing address | 1000 Pocatello Creek Rd Ste E10, Pocatello, ID 83201-2953 |
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Earl Evan Holmstead, MD
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Dr. Mark Horrocks, MD
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Eric Jensen, MD
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