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Organization

SILVER VALLEY MEDICINE INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
YANHUA GAO (OFFICE MANAGER)
(208) 682-2151
Entity
Organization

Contact information

Practice address
107 CHURCH ST, PINEHURST, ID 83850-0945
(208) 682-2151
Mailing address
PO BOX 945, 107 CHURCH ST., PINEHURST, ID 83850-0945
(208) 682-2150

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0246
ID

Other

Enumeration date
02/27/2007
Last updated
03/19/2008
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