Organization
TETON RIVER PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JESSICA MADDOX MD (PEDIATRICIAN)
(801) 870-6890
Entity
Organization
Contact information
Practice address
30 N 1ST ST, DRIGGS, ID 83422-5219
(208) 435-8846
Mailing address
30 N 1ST ST, DRIGGS, ID 83422-5219
(208) 435-8846
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
02/04/2026
Last updated
02/04/2026
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