Organization
MAGIC VALLEY MEDICINE PLLC
Active
Organization
MAGIC VALLEY MEDICINE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL BARKER NP-C (PRESIDENT)
(208) 734-0000
Entity
Organization
Contact information
Practice address
844 WASHINGTON ST N STE 400, TWIN FALLS, ID 83301-3874
(208) 734-0000
(208) 735-5053
Mailing address
844 WASHINGTON ST N STE 400, TWIN FALLS, ID 83301-3874
(208) 734-0000
(208) 735-5053
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
NP1452A
ID
Other
Enumeration date
08/22/2016
Last updated
08/22/2016
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