Organization
ELITE MEDICINE PC
Active
Other names
Genesis Restorative Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
LINDSAY HUBSMITH PA (OWNER)
(208) 358-3225
Entity
Organization
Contact information
Practice address
1525 ADDISON AVE E STE A2, TWIN FALLS, ID 83301-5300
(208) 739-9961
(208) 739-9962
Mailing address
1525 ADDISON AVE E STE A2, TWIN FALLS, ID 83301-5300
(208) 739-9961
(208) 739-9962
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
363AM0700X
Medical Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
05/31/2022
Last updated
12/20/2024
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