# INNOVATIVE FAMILY MEDICINE OF IDAHO PLLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1811689870
- **Authorized official:** AARON BROWN MD (MEMBER)
- **Authorized official phone:** (208) 961-0420

## Contact information

- **Practice address:** 512 POLE LINE RD STE 2, TWIN FALLS, ID 83301-6367
- **Practice address phone:** (208) 735-3636
- **Practice address fax:** (208) 735-3637
- **Mailing address:** PO BOX 44953, BOISE, ID 83711-0953

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/25/2023
- **Last updated:** 04/02/2024