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Joseph W Ippolito Jr Md Pllc
Preferred Provider Organization in Twin Falls, Idaho
NPI 1154561116

Joseph W Ippolito Jr Md Pllc is a Preferred Provider Organization based in Twin Falls, ID. Joseph W Ippolito Jr Md Pllc practices in Twin Falls, ID. The NPI Number for Joseph W Ippolito Jr Md Pllc is 1154561116 and holds a License No. M7008 (Idaho).

The current practice location address for Joseph W Ippolito Jr Md Pllc is 526 Shoup Ave W, Twin Falls, ID and can be reached out via phone at 208-736-7620 and via fax at 208-735-9537.

Location: 526 Shoup Ave W, Twin Falls, ID, 83301-4591
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1154561116
Provider Name
Joseph W Ippolito Jr Md Pllc
Credential
Provider Entity Type
Organization
Address
526 Shoup Ave W, Twin Falls, ID, 83301-4591
Phone Number
208-736-7620
Fax Number
208-735-9537
Provider Enumeration Date
03/03/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000010001696 01 ID REGENCE BLUE SHIELD OF IDAHO
DY066 01 ID BLUE CROSS OF IDAHO
003755600 05 ID
institution
Provider Business Practice Location Address Details
Address
526 Shoup Ave W
City
Twin Falls
State
Idaho
Zip
83301-4591
Phone Number
208-736-7620
Fax Number
208-735-9537
person
Provider Business Mailing Address Details
Address
526 Shoup Ave W
City
Twin Falls
State
Idaho
Zip
83301-4591
Phone Number
208-736-7620
Fax Number
208-735-9537
person
Provider's Taxonomy Details 1
Type
Managed Care Organizations
Classification
Preferred Provider Organization
Speciality
-
Taxonomy
305R00000X
License No.
M7008 (Idaho)
Definition
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.
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