Magic Valley Family Practice, Pllc
NPI #1528251519 in Twin Falls, Idaho
Provider Information
- NPI Number
- 1528251519
- Entity Type
- Organization
- Organization Name
- Magic Valley Family Practice, Pllc
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Aug 22, 2007
- Last Updated
- Oct 15, 2007
Practice Location
- Address
- 1182 EASTLAND DR N
- Address 2
- SUITE B
- City
- Twin Falls
- State
- Idaho
- ZIP Code
- 83301-8972
- Phone
- (208) 733-5117
Authorized Official
- Name
- MR. DREW B SIMMONS, FNP-C
- Title
- NURSE PRACTITIONER/OWNER
- Phone
- (208) 733-5117
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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