Joseph W Ippolito Jr MD Pllc
NPI #1154561116 in Twin Falls, Idaho
Provider Information
- NPI Number
- 1154561116
- Entity Type
- Organization
- Organization Name
- Joseph W Ippolito Jr MD Pllc
- Primary Specialty
- Preferred Provider Organization
- Enumeration Date
- Mar 3, 2009
- Last Updated
- Aug 29, 2012
Practice Location
- Address
- 526 SHOUP AVE W
- Address 2
- SUITE F
- City
- Twin Falls
- State
- Idaho
- ZIP Code
- 83301-4591
- Phone
- (208) 736-7620
Authorized Official
- Name
- DR. JOSEPH W IPPOLITO JR., MD
- Title
- MEDICAL DOCTOR/OWNER
- Phone
- (208) 736-7620
Specialties & Taxonomy Codes
| Specialty |
|---|
| Preferred Provider Organization |
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