NPI 1215715669

Gem State Ent, PLLC

Organisation General Practice Physician Twin Falls, ID

Practice location

Address: 2102 Canyon Plaza Dr, Twin Falls, ID 83301-4513
Phone: (208) 352-7555
Fax: (208) 352-7333
Mailing address: 2114 Village Park Ave # 200, Twin Falls, ID 83301-4172

Authorised official

Name: Brooke Freidenberger
Title: Medical Coder
Phone: (208) 858-6008

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X

Other General Practice providers in Idaho →

Registry record

NPI: 1215715669
Entity type: Organization
NPI issued: 18 Sep 2023
Record last updated: 8 Apr 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.