# VALLEY PATHOLOGY ASSOCIATES PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124072798
- **Authorized official:** NATHAN THOMPSON DO (PRESIDENT)
- **Authorized official phone:** (208) 814-0361

## Contact information

- **Practice address:** 801 POLE LINE RD W, TWIN FALLS, ID 83301-5810
- **Practice address phone:** (208) 736-0887
- **Practice address fax:** (208) 736-0890
- **Mailing address:** PO BOX 553, TWIN FALLS, ID 83303-0553
- **Mailing address phone:** (208) 736-0887

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207ZP0101X | Anatomic Pathology Physician | — | NULL | — |
| 207ZP0101X | Anatomic Pathology Physician | — | — | — |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | — | NULL | Yes |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/19/2006
- **Last updated:** 09/14/2021
