Family Practice Associates PA Mid Level

NPI #1982888756 in Hailey, Idaho

Provider Information

NPI Number
1982888756
Entity Type
Organization
Organization Name
Family Practice Associates PA Mid Level
Primary Specialty
Family Medicine
Enumeration Date
Dec 28, 2007
Last Updated
Dec 28, 2007

Practice Location

Address
21 E MAPLE ST
Address 2
SUITE A
City
Hailey
State
Idaho
ZIP Code
83333-8401
Phone
(208) 788-3200

Authorized Official

Name
DONALD LEVIN, MD
Title
PHYSICIAN
Phone
(208) 788-3200

Specialties & Taxonomy Codes

Specialty
Family Medicine

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