Valley View Family Medical Pllc | |
1100 N Lincoln Ave Jerome ID 83338-1856 | |
(208) 324-6656 | |
(208) 324-1492 |
Full Name | Valley View Family Medical Pllc |
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Speciality | Family Medicine |
Location | 1100 N Lincoln Ave, Jerome, Idaho |
Authorized Official Name and Position | Robert Mena (OWNER/PROVIDER) |
Authorized Official Contact | 2083246656 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Valley View Family Medical Pllc 1100 N Lincoln Ave Jerome ID 83338-1856 Ph: (208) 324-6656 | Valley View Family Medical Pllc 1100 N Lincoln Ave Jerome ID 83338-1856 Ph: (208) 324-6656 |
NPI Number | 1821419946 |
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Provider Enumeration Date | 12/16/2013 |
Last Update Date | 12/16/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1821419946 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | M8898 (Idaho) | Primary |
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