NPI 1417357534

Fpc PLLC

Organisation Primary Care Clinic/Center Driggs, ID

Practice location

Address: 852 Valley Centre Dr, Driggs, ID 83422-5005
Phone: (208) 354-4757
Fax: (208) 354-4758

Authorised official

Name: Scott David Thomas
Title: Owner
Phone: (307) 690-8713

Registered specialties

Primary Care Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QP2300X Licence M-7462 (ID)

Other Clinic/Center providers in Idaho →

Registry record

NPI: 1417357534
Entity type: Organization
NPI issued: 26 Aug 2014
Record last updated: 23 Jan 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.