| NPI | 1073697884 |
|---|---|
| Former Legal Business Name | UPPER VALLEY FAMILY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | DARIN T BERRETT Office Manager 208-745-5021 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2022-07-21 |