Mitchell Jackson Moffitt in Twin Falls - Pediatrics
Mitchell Jackson Moffitt - NPI 1093895229
Mitchell Jackson Moffitt is a Pediatrics in Twin Falls, Idaho. Mitchell Jackson Moffitt practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Mitchell Jackson Moffitt is 1093895229. The last update date is 2015-01-07.
Mitchell Jackson Moffitt's current location address is 775 Pole Line Rd W, Twin Falls, Idaho. You can contact this provider via phone number 2088148000 and fax number 2087339402. The mailing address for Mitchell Jackson Moffitt is 775 Pole Line Rd W, Twin Falls, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mitchell Jackson Moffitt |
|---|---|
| Address | 775 Pole Line Rd W, Twin Falls, Idaho |
| Phone Number | 2088148000 |
| Fax Number | 2087339402 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1093895229 |
|---|---|
| Provider Enumeration Date | 2006-10-16 |
| Last Updated Date | 2015-01-07 |
Provider Mailing Address Detail
| Address | 775 Pole Line Rd W |
|---|---|
| City | Twin Falls |
| State | Idaho (ID) |
| Post Code | 833015814 |
| Phone Number | 2088148000 |
| Fax Number | 2087339402 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | M-10017 |
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Definition: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 807839500 | ID | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Mitchell Jackson Moffitt by the Centers for Medicare & Medicaid Services?
The Mitchell Jackson Moffitt has been assigned the NPI (National Provider Identifier) 1093895229 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Mitchell Jackson Moffitt located?
The Mitchell Jackson Moffitt is located at 775 Pole Line Rd W, Twin Falls, ID 833015814.
What is Mitchell Jackson Moffitt's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Mitchell Jackson Moffitt is Pediatrics, and the taxonomy classification code that categorizes this area of expertise is 208000000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1093895229 to Mitchell Jackson Moffitt?
The Centers for Medicare & Medicaid Services assigned the 1093895229 to Mitchell Jackson Moffitt on 2006-10-16.
As of what date were the details related to Mitchell Jackson Moffitt most recently updated or revised?
The information pertaining to Mitchell Jackson Moffitt, including its address, specialty, and other relevant details, was last updated or revised on 2015-01-07.
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