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Organization
REGIONAL PHYSICIAN SERVICES OF IDAHO, PC
Active
Organization
REGIONAL PHYSICIAN SERVICES OF IDAHO, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTORIA ALVAREZ (DIRECTOR, CREDENTIALING)
(480) 862-1695
Entity
Organization
Contact information
Practice address
1105 2ND ST S STE 100, NAMPA, ID 83651-3911
(480) 862-1677
(480) 718-7643
Mailing address
9201 E MOUNTAIN VIEW #220, SCOTTSDALE, AZ 85258-5172
(480) 862-1700
(877) 506-4560
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
NULL
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/04/2011
Last updated
12/11/2019
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