# SILVER VALLEY MEDICINE INC

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

## Provider details

- **NPI number:** 1952438004
- **Authorized official:** YANHUA GAO (OFFICE MANAGER)
- **Authorized official phone:** (208) 682-2151

## Contact information

- **Practice address:** 107 CHURCH ST, PINEHURST, ID 83850-0945
- **Practice address phone:** (208) 682-2151
- **Mailing address:** PO BOX 945, 107 CHURCH ST., PINEHURST, ID 83850-0945
- **Mailing address phone:** (208) 682-2150

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 0246 | ID | Yes |

## Other

- **Enumeration date:** 02/27/2007
- **Last updated:** 03/19/2008
