Organization
AARON J AFFLECK MD PA
Active
Other names
Affleck MD Eye Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AARON JON AFFLECK M.D. (PHYSICIAN/OWNER)
(208) 523-6868
Entity
Organization
Contact information
Practice address
2900 VALENCIA DR, IDAHO FALLS, ID 83404-7594
(208) 523-6868
Mailing address
2900 VALENCIA DR, IDAHO FALLS, ID 83404-7594
(208) 523-6868
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
M8206
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002797900
—
ID
Enumeration date
06/01/2015
Last updated
06/01/2015
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