Upper Valley Family Medicine Pllc

NPI #1326322843 in Rigby, Idaho

Provider Information

NPI Number: 1326322843
Entity Type: Organization
Organization Name: Upper Valley Family Medicine Pllc
Subpart: Yes (part of a larger organization)
Parent Organization: UPPER VALLEY FAMILY MEDICINE PLLC
Primary Specialty: Non-Pharmacy Dispensing Site
Enumeration Date: Oct 3, 2011
Last Updated: Oct 3, 2011

Practice Location

Address: 711 RIGBY LAKE DR
Address 2: SUITE 115
City: Rigby
State: Idaho
ZIP Code: 83442-5192
Phone: (208) 745-5021

Authorized Official

Name: RICHARD HARPER, DO
Title: OWNER
Phone: (208) 745-5021

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Non-Pharmacy Dispensing Site	332900000X	Primary

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