Organization
UPPER VALLEY FAMILY MEDICINE PLLC
Active
Parent organization
UPPER VALLEY FAMILY MEDICINE PLLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
UPPER VALLEY FAMILY MEDICINE PLLC
Authorized official
RICHARD HARPER DO (OWNER)
(208) 745-5021
Entity
Organization
Contact information
Practice address
711 RIGBY LAKE DR, SUITE 115, RIGBY, ID 83442-5192
(208) 745-5021
Mailing address
2980 N BEVERLY GLEN CIR, SUITE 301, LOS ANGELES, CA 90077-1726
(310) 474-9809
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
10/03/2011
Last updated
10/03/2011
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