Organization
SOUTHERN IDAHO OPHTHALMOLOGY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES MORGAN COOMBS M.D. (PRESIDENT)
(208) 734-8934
Entity
Organization
Contact information
Practice address
1415 PARKVIEW DR, TWIN FALLS, ID 83301-3250
(208) 734-8934
(208) 734-8974
Mailing address
1415 PARKVIEW DR, TWIN FALLS, ID 83301-3250
(208) 734-8934
(208) 734-8974
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
M12126
ID
207W00000X
Ophthalmology Physician
M4223
ID
207W00000X
Ophthalmology Physician
Primary
M9542
ID
Other
Enumeration date
11/20/2015
Last updated
11/20/2015
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