West Valley Medical Group LLC

NPI #1871673798 in Caldwell, Idaho

Provider Information

NPI Number: 1871673798
Entity Type: Organization
Organization Name: West Valley Medical Group LLC
Primary Specialty: Internal Medicine
Enumeration Date: Oct 16, 2006
Last Updated: Jan 2, 2023

Practice Location

Address: 1906 FAIRVIEW AVE STE 230
City: Caldwell
State: Idaho
ZIP Code: 83605-5432
Phone: (208) 459-4667

Authorized Official

Name: LOUIS JOSEPH
Title: VP
Phone: (615) 373-7630

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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