Northridge Internal Medicine, PLLC
Northridge Internal Medicine, PLLC is an Internal Medicine Physician in Rexburg, Idaho. Licensed in Idaho. Registered with an NPI since 2007.
- Licensed in
- ID
- In the registry since
- 2007
What do these letters mean?
- PLLC — Professional limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
36 Professional Plz STE-102Rexburg, ID 83440-2049
Phone: (208) 656-8456
Fax: (208) 656-8444
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
| Internal Medicine Physician (primary) | Taxonomy 207R00000X · Licence O0359 (ID) |
|---|
Record details
| NPI number | 1033394713 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Rodney Bates — Member · (208) 656-8456 |
| NPI enumerated | December 31, 2007 |
| Last updated in NPPES | February 11, 2008 |
| Mailing address | 36 Professional Plz, Ste-102, Rexburg, ID 83440-2049 |
Other providers in Rexburg
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Jack O. Clark, MD
450 E Main St, Rexburg, ID 83440 · (208) 359-6419
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Mr. Craig D Heiner, MD
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Dr. Stephen M. Jensen, DO
450 E Main St, Rexburg, ID 83440-2048 · (208) 359-6900
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Dr. Steven Hansen Lofgran, MD
37 S 2nd E, Rexburg, ID 83440 · (208) 356-0234
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Dr. Hans Thurgood Redd, MD
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Seasons Medical, PLLC
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