# UPPER VALLEY FAMILY MEDICINE PLLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** UPPER VALLEY FAMILY MEDICINE PLLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1326322843
- **Legal business name:** UPPER VALLEY FAMILY MEDICINE PLLC
- **Authorized official:** RICHARD HARPER DO (OWNER)
- **Authorized official phone:** (208) 745-5021

## Contact information

- **Practice address:** 711 RIGBY LAKE DR, SUITE 115, RIGBY, ID 83442-5192
- **Practice address phone:** (208) 745-5021
- **Mailing address:** 2980 N BEVERLY GLEN CIR, SUITE 301, LOS ANGELES, CA 90077-1726
- **Mailing address phone:** (310) 474-9809

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332900000X | Non-Pharmacy Dispensing Site | — | NULL | Yes |

## Other

- **Enumeration date:** 10/03/2011
- **Last updated:** 10/03/2011