Upper Valley Family Medicine Pa in Rigby - Physician Assistant
Upper Valley Family Medicine Pa - NPI 1679737217
Upper Valley Family Medicine Pa is a Physician Assistant in Rigby, Idaho. Upper Valley Family Medicine Pa practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Upper Valley Family Medicine Pa is 1679737217. The last update date is 2008-07-14.
Upper Valley Family Medicine Pa's current location address is 530 Rigby Lake Dr, Rigby, Idaho. You can contact this provider via phone number 2087455021 and fax number 2087455026. The mailing address for Upper Valley Family Medicine Pa is 530 Rigby Lake Dr, Rigby, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Upper Valley Family Medicine Pa |
|---|---|
| Address | 530 Rigby Lake Dr, Rigby, Idaho |
| Phone Number | 2087455021 |
| Fax Number | 2087455026 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OFFICE MAN |
|---|---|
| Authorized Official Name | Safarik Lynn Connie |
| Credentials | CPC |
| Telephone Number | 2087456717 |
NPI Number Detail
| NPI Number | 1679737217 |
|---|---|
| Provider Enumeration Date | 2008-07-14 |
| Last Updated Date | 2008-07-14 |
Provider Mailing Address Detail
| Address | 530 Rigby Lake Dr |
|---|---|
| City | Rigby |
| State | Idaho (ID) |
| Post Code | 834421271 |
| Phone Number | 2087455021 |
| Fax Number | 2087455026 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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What is the unique provider identifier assigned to Upper Valley Family Medicine Pa?
The Upper Valley Family Medicine Pa has been issued the NPI (National Provider Identifier) 1679737217 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Upper Valley Family Medicine Pa?
The Upper Valley Family Medicine Pa is situated at 530 Rigby Lake Dr, in the city of Rigby, state of ID, with the zip code 834421271.
What is the Upper Valley Family Medicine Pa's specialty and taxonomy code?
The Upper Valley Family Medicine Pa's specialty is Physician Assistant, and the corresponding taxonomy code is 363A00000X.
When did the Upper Valley Family Medicine Pa receive its 1679737217?
The Upper Valley Family Medicine Pa was issued its 1679737217 on 2008-07-14, which is the date when the organization was assigned this unique identifier.
When was the information regarding Upper Valley Family Medicine Pa most recently updated?
The details pertaining to the Upper Valley Family Medicine Pa, including its address, specialty, and other relevant information, were last refreshed on 2008-07-14.
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