Upper Valley Family Medicine PA

NPI #1679737217 in Rigby, Idaho

Provider Information

NPI Number: 1679737217
Entity Type: Organization
Organization Name: Upper Valley Family Medicine PA
Primary Specialty: Physician Assistant
Enumeration Date: Jul 14, 2008
Last Updated: Jul 14, 2008

Practice Location

Address: 530 RIGBY LAKE DR
City: Rigby
State: Idaho
ZIP Code: 83442-1271
Phone: (208) 745-5021

Authorized Official

Name: CONNIE LYNN SAFARIK, CPC
Title: OFFICE MANAGER
Phone: (208) 745-6717

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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