Blue Lakes Medicine PA
NPI #1063872489 in Twin Falls, Idaho
Provider Information
- NPI Number
- 1063872489
- Entity Type
- Organization
- Organization Name
- Blue Lakes Medicine PA
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- Feb 26, 2016
- Last Updated
- Feb 26, 2016
Practice Location
- Address
- 1122 EASTLAND DR N
- Address 2
- STE 2
- City
- Twin Falls
- State
- Idaho
- ZIP Code
- 83301-8444
- Phone
- (208) 734-9531
Authorized Official
- Name
- DR. HOWARD RUSTY ARRINGTON, FNP-C, DC
- Title
- PROVIDER / OWNER
- Phone
- (208) 734-9531
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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