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Organization

UPPER VALLEY FAMILY PRACTICE, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JEFFREY G HOPKIN M.D. (OWNER/ PHYSICAN)
(208) 356-8883
Entity
Organization

Contact information

Practice address
32 W 1ST S, REXBURG, ID 83440-1810
(208) 356-8883
(208) 656-0292
Mailing address
32 W 1ST S, REXBURG, ID 83440-1810
(208) 356-8883
(208) 656-0292

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M-6910
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003727500
ID
Enumeration date
07/13/2009
Last updated
04/19/2018
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