| Precision Family Medicine & Aesthetics Llc | |
|
2001 S Woodruff Ave Ste 11 Idaho Falls ID 83404-6372 | |
| (208) 757-1000 | |
| Not Available |
| Full Name | Precision Family Medicine & Aesthetics Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2001 S Woodruff Ave Ste 11, Idaho Falls, Idaho |
| Authorized Official Name and Position | Bradley Radford (OWNER) |
| Authorized Official Contact | 2084193271 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Precision Family Medicine & Aesthetics Llc 2001 S Woodruff Ave Ste 11 Idaho Falls ID 83404-6372 Ph: () - | Precision Family Medicine & Aesthetics Llc 2001 S Woodruff Ave Ste 11 Idaho Falls ID 83404-6372 Ph: (208) 757-1000 |
| NPI Number | 1760119986 |
|---|---|
| Provider Enumeration Date | 08/07/2022 |
| Last Update Date | 10/13/2022 |
| Medicare PECOS PAC ID | 4880060185 |
|---|---|
| Medicare Enrollment ID | O20221011001923 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760119986 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Lynne J Trauntvein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558624601 PECOS PAC ID: 8426294505 Enrollment ID: I20130416000094 |
| Provider Name | Bradley J Radford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871191254 PECOS PAC ID: 5890105928 Enrollment ID: I20201102000294 |
| Provider Name | Amber Keck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023820909 PECOS PAC ID: 9436674389 Enrollment ID: I20250423001693 |
Machen Family Medicine, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1995 E 17th St Ste A, Idaho Falls, ID 83404 Phone: 208-522-7666 Fax: 208-524-2821 | |
Physician Skin Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 730 S Woodruff Ave, Idaho Falls, ID 83401 Phone: 208-542-9111 | |
Family First Medical Center, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3614 Washington Pkwy, Idaho Falls, ID 83404 Phone: 208-552-7700 Fax: 208-552-1783 | |
Ihc Health Services Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3100 Channing Way, Idaho Falls, ID 83404 Phone: 801-507-3500 | |
Neville Spinal Balance Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2145 West Broadway Street, Idaho Falls, ID 83402 Phone: 208-522-3130 | |
R.k. Arbon, M.d., P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2860 Channing Way, Suite 116, Idaho Falls, ID 83404 Phone: 208-529-0575 Fax: 208-528-0223 | |
Tony C Roisum Md Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3360 Washington Pkwy, Suite 1, Idaho Falls, ID 83404 Phone: 208-524-3416 Fax: 208-524-3138 |