Magic Valley Medicine Pllc

NPI #1174939383 in Twin Falls, Idaho

Provider Information

NPI Number
1174939383
Entity Type
Organization
Organization Name
Magic Valley Medicine Pllc
Primary Specialty
Nurse Practitioner - Family
Enumeration Date
Jul 8, 2014
Last Updated
Jul 11, 2016

Practice Location

Address
844 WASHINGTON ST N STE 400
State
Idaho
ZIP Code
83301-3874
Phone
(208) 734-0000

Authorized Official

Name
SAMUEL H BARKER
Title
SOLE MEMBER
Phone
(208) 734-0000

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies
Nurse Practitioner - FamilyFamily

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