DR. Mitchell Jackson Moffitt, M.D.

NPI #1093895229 in Twin Falls, Idaho

Provider Information

NPI Number
1093895229
Entity Type
Individual
Name
DR. Mitchell Jackson Moffitt, M.D.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Pediatrics
Credential
M.D.
Enumeration Date
Oct 16, 2006
Last Updated
Jan 7, 2015

Practice Location

Address
775 POLE LINE RD W
Address 2
SUITE 111
State
Idaho
ZIP Code
83301-5814
Phone
(208) 814-8000

Specialties & Taxonomy Codes

Specialty
Pediatrics

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