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Magic Valley Medicine Pllc
Family Nurse Practitioner in Twin Falls, Idaho
NPI 1174939383

Magic Valley Medicine Pllc is a Family Nurse Practitioner based in Twin Falls, ID and is specialized in Family. Magic Valley Medicine Pllc practices in Twin Falls, ID. The NPI Number for Magic Valley Medicine Pllc is 1174939383 and holds a License No. (Idaho).

The current practice location address for Magic Valley Medicine Pllc is 844 Washington St N Ste 400, Twin Falls, ID and can be reached out via phone at 208-734-0000 and via fax at 208-735-5053.

Location: 844 Washington St N Ste 400, Twin Falls, ID, 83301-3874
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1174939383
Provider Name
Magic Valley Medicine Pllc
Credential
Provider Entity Type
Organization
Address
844 Washington St N Ste 400, Twin Falls, ID, 83301-3874
Phone Number
208-734-0000
Fax Number
208-735-5053
Provider Enumeration Date
07/08/2014
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
1174939383 05 ID
7369300001 01 MEDICARE DME
institution
Provider Business Practice Location Address Details
Address
844 Washington St N Ste 400
City
Twin Falls
State
Idaho
Zip
83301-3874
Phone Number
208-734-0000
Fax Number
208-735-5053
person
Provider Business Mailing Address Details
Address
844 Washington St N Ste 400
City
Twin Falls
State
Idaho
Zip
83301-3874
Phone Number
208-734-0000
Fax Number
208-735-5053
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
()
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
()
Definition
Definition to come...
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