Organization
VALLEY VIEW FAMILY MEDICAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT MENA MD (OWNER/PROVIDER)
(208) 324-6656
Entity
Organization
Contact information
Practice address
1100 N LINCOLN AVE, JEROME, ID 83338-1856
(208) 324-6656
(208) 324-1492
Mailing address
1100 N LINCOLN AVE, JEROME, ID 83338-1856
(208) 324-6656
(208) 324-1492
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M8898
ID
Other
Enumeration date
12/16/2013
Last updated
12/16/2013
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