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Organization
UPPER VALLEY FAMILY MEDICINE PA
Active
Organization
UPPER VALLEY FAMILY MEDICINE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CONNIE LYNN SAFARIK CPC (OFFICE MANAGER)
(208) 745-6717
Entity
Organization
Contact information
Practice address
530 RIGBY LAKE DR, RIGBY, ID 83442-1271
(208) 745-5021
(208) 745-5026
Mailing address
530 RIGBY LAKE DR, RIGBY, ID 83442-1271
(208) 745-5021
(208) 745-5026
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
NULL
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
07/14/2008
Last updated
07/14/2008
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