Organization
MVH PC SPECIALISTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NED HILLYARD (CCO)
(208) 709-4571
Entity
Organization
Contact information
Practice address
110 VISTA DR, POCATELLO, ID 83201-5824
(208) 234-2300
Mailing address
110 VISTA DR, POCATELLO, ID 83201-5824
(208) 234-2300
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
04/19/2017
Last updated
04/19/2017
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