Organization
WEST VALLEY MEDICAL GROUP SPECIALTY SERVICES LLC
Active
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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