Organization
UPPER VALLEY PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GENE PRESTON GATES M.D. (MANAGING PARTNER)
(208) 356-0234
Entity
Organization
Contact information
Practice address
36 PROFESSIONAL PLAZA, REXBURG, ID 83440
(208) 356-0234
(208) 656-8440
Mailing address
36 PROFESSIONAL PLAZA, REXBURG, ID 83440
(208) 356-0234
(208) 656-8440
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
12/11/2006
Last updated
08/22/2020
Update your record
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