Maverick Mitton

NPI #1396602249 in Twin Falls, Idaho

Provider Information

NPI Number: 1396602249
Entity Type: Individual
Name: Maverick Mitton
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Jan 5, 2026
Last Updated: Jan 5, 2026

Practice Location

Address: 775 POLE LINE RD
City: Twin Falls
State: Idaho
ZIP Code: 83301-3036
Phone: (208) 814-1000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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