| Brizzee Family Medicine Inc | |
|
2010 Flandro Dr Pocatello ID 83202-1947 | |
| (208) 238-0600 | |
| (208) 238-0603 |
| Full Name | Brizzee Family Medicine Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 2010 Flandro Dr, Pocatello, Idaho |
| Authorized Official Name and Position | David Paul Brizzee (PRESIDENT) |
| Authorized Official Contact | 2087571577 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brizzee Family Medicine Inc 2010 Flandro Dr Pocatello ID 83202-1947 Ph: (208) 238-0600 | Brizzee Family Medicine Inc 2010 Flandro Dr Pocatello ID 83202-1947 Ph: (208) 238-0600 |
| NPI Number | 1629392626 |
|---|---|
| Provider Enumeration Date | 03/18/2010 |
| Last Update Date | 03/18/2010 |
| Medicare PECOS PAC ID | 3375676703 |
|---|---|
| Medicare Enrollment ID | O20100805000103 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629392626 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | O-0516 (Idaho) | Primary |
| Provider Name | David P Brizzee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225234420 PECOS PAC ID: 7810020252 Enrollment ID: I20100805000124 |
| Provider Name | Margaret E Jablonski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700491933 PECOS PAC ID: 8820404882 Enrollment ID: I20210317001191 |
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