Organization
MICHAEL K TAYLOR, MD, & JASON T HALVERSON, MD, PLLC
Active
Other names
Canyon Crest Eye Phys
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON T HALVERSON MD (OWNER)
(208) 733-5300
Entity
Organization
Contact information
Practice address
261 CANYON CREST DR STE 100, TWIN FALLS, ID 83301-5924
(208) 733-5300
Mailing address
261 CANYON CREST DR STE 100, TWIN FALLS, ID 83301-5924
(208) 733-5300
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
805175600
—
ID
Enumeration date
07/09/2006
Last updated
04/24/2023
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