Upper Valley Family Medicine Pa

NPI 1679737217 - Physician Assistant - 363A00000X

NPI Details
NPI 1679737217
Enumeration Date 07/14/2008
Last Updated 07/14/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name CONNIE LYNN CONNIE
Position OFFICE MANAGER
Phone (208) 745-5021
Fax (208) 745-5026
Practice Location
530 RIGBY LAKE DR
RIGBY ID, 83442-1271, US
Phone (208) 745-5021
Fax (208) 745-5026
Business Location
530 RIGBY LAKE DR
RIGBY ID, 83442-1271, US
Phone (208) 745-5021
Fax (208) 745-5026
Toxanomy
Taxonomy Code 363A00000X
License State
License Number
Remove 1679737217 NPI Number
 

According to our database, Upper Valley Family Medicine Pa NPI is 1679737217, taxonomy code is 363A00000X Upper Valley Family Medicine Pa physically located at 530 Rigby Lake Dr, Rigby ID, 83442-1271. NPI Number 1033115704 has the healthcare provider type.

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1679737217 NPI number is provided on an as is basis without warranty of any kind. 1679737217 is maintained by the National Plan & Provider Enumeration System. The contents of Upper Valley Family Medicine Pa are for informational purposes only.