Teton Valley Hosital & Surgicenter

NPI #1881734135 in Victor, Idaho

Provider Information

NPI Number
1881734135
Entity Type
Organization
Organization Name
Teton Valley Hosital & Surgicenter
Subpart
Yes (part of a larger organization)
Parent Organization
TETON VALLEY HOSPITAL & SURGICENTER
Primary Specialty
Family Medicine
Enumeration Date
Feb 7, 2007
Last Updated
Nov 18, 2010

Practice Location

Address
252 SOUTH MAIN STREET
City
Victor
State
Idaho
ZIP Code
83455
Phone
(208) 354-6307

Authorized Official

Name
MRS. LAURA C PIQUET
Title
OPERATIONS MANAGER
Phone
(208) 354-6302

Specialties & Taxonomy Codes

Specialty
Orthopaedic Surgery
Pediatrics
Pain Medicine - Interventional Pain MedicineInterventional Pain Medicine
Surgery
Urology
Social Worker - ClinicalClinical
Family Medicine

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