Mvh Pic LLC

NPI #1972035772 in Pocatello, Idaho

Provider Information

NPI Number
1972035772
Entity Type
Organization
Organization Name
Mvh Pic LLC
Primary Specialty
Family Medicine
Enumeration Date
Mar 30, 2017
Last Updated
Apr 24, 2024

Practice Location

Address
495 YELLOWSTONE AVE
State
Idaho
ZIP Code
83201-4531
Phone
(208) 478-7422

Authorized Official

Name
NED HILLYARD
Title
CCO
Phone
(208) 709-4571

Specialties & Taxonomy Codes

Specialty
Family Medicine

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