Organization
TRIPP FAMILY MEDICINE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN PAUL TRIPP D.O. (PRESIDENT)
(208) 933-4400
Entity
Organization
Contact information
Practice address
1411 FILLMORE ST, SUITE 600, TWIN FALLS, ID 83301-3343
(208) 933-4400
(208) 933-4401
Mailing address
1411 FILLMORE ST, SUITE 600, TWIN FALLS, ID 83301-3343
(208) 933-4400
(208) 933-4401
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
O-0539
ID
Other
Enumeration date
04/30/2012
Last updated
04/30/2012
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