Teton River Pediatrics

NPI #1891646055 in Driggs, Idaho

Provider Information

NPI Number: 1891646055
Entity Type: Organization
Organization Name: Teton River Pediatrics
Primary Specialty: Pediatrics
Enumeration Date: Feb 4, 2026
Last Updated: Feb 4, 2026

Practice Location

Address: 30 N 1ST ST
City: Driggs
State: Idaho
ZIP Code: 83422-5219
Phone: (208) 435-8846

Authorized Official

Name: DR. JESSICA MADDOX, MD
Title: PEDIATRICIAN
Phone: (801) 870-6890

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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