Organization
WEST VALLEY MEDICAL GROUP SPECIALTY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOUIS JOSEPH (VP)
(615) 373-7630
Entity
Organization
Contact information
Practice address
315 ELM STREET, STE 310, CALDWELL, ID 83605
(208) 454-2035
(208) 454-1065
Mailing address
2000 HEALTH PARK DR, BRENTWOOD, TN 37027-4525
(615) 373-7600
(866) 346-1426
Taxonomy
Speciality
Code
Description
License number
State
207VB0002X
Obesity Medicine (Obstetrics & Gynecology) Physician
Primary
—
—
Other
Enumeration date
04/09/2014
Last updated
01/02/2023
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