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NPI Code Detail

MEDICARE: UPPER VALLEY FAMILY PRACTICE, PLLC

MEDICARE: UPPER VALLEY FAMILY PRACTICE, PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianM-6910ID

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1922237874
Entity Type Code : Organization
Provider Name (Legal Business Name) : UPPER VALLEY FAMILY PRACTICE, PLLC
Provider Business Mailing Address
First Line : 32 W 1ST S
Second Line :
City : REXBURG
State : ID
Zip : 83440-1810
Country : US
Telephone Number : 208-356-8883
Fax Number : 208-656-0292
Provider Business Practice Location Address
First Line : 32 W 1ST S
Second Line :
City : REXBURG
State : ID
Zip : 83440-1810
Country : US
Telephone Number : 208-356-8883
Fax Number : 208-656-0292
Authorized Official
Title or Position : OWNER/ PHYSICAN
Name : DR. JEFFREY G HOPKIN
Credential : M.D.
Telephone Number : 208-356-8883
Provider Enumeration Date : 07/13/2009
Last Update Date : 04/19/2018

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Directions to “UPPER VALLEY FAMILY PRACTICE, PLLC ” Practice Location

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