Upper Valley Orthopedics, Pllc

NPI #1184799298 in Rexburg, Idaho

Provider Information

NPI Number: 1184799298
Entity Type: Organization
Organization Name: Upper Valley Orthopedics, Pllc
Primary Specialty: Specialist
Enumeration Date: Nov 22, 2006
Last Updated: Nov 19, 2009

Practice Location

Address: 360 E MAIN ST
City: Rexburg
State: Idaho
ZIP Code: 83440-2015
Phone: (208) 356-9550

Authorized Official

Name: DR. MICHAEL J LARSON, MD
Title: OWNER
Phone: (208) 356-9550

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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