Organization
MAGIC VALLEY FAMILY PRACTICE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DREW B SIMMONS FNP-C (NURSE PRACTITIONER/OWNER)
(208) 733-5117
Entity
Organization
Contact information
Practice address
1182 EASTLAND DR N, SUITE B, TWIN FALLS, ID 83301-8972
(208) 733-5117
(208) 733-5143
Mailing address
1182 EASTLAND DR N, SUITE B, TWIN FALLS, ID 83301-8972
(208) 733-5117
(208) 733-5143
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
NP444A
ID
Other
Enumeration date
08/22/2007
Last updated
10/15/2007
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