NPI 1326322843
Upper Valley Family Medicine PLLC
Practice location
- Address
- 711 Rigby Lake Dr Suite 115, Rigby, ID 83442-5192
- Phone
- (208) 745-5021
- Mailing address
- 2980 N Beverly Glen Cir Suite 301, Los Angeles, CA 90077-1726
Authorised official
- Name
- Richard Harper
- Title
- Owner
- Phone
- (208) 745-5021
Registered specialties
Non-Pharmacy Dispensing Site
Primary
Registry record
- NPI
- 1326322843
- Entity type
- Organization
- NPI issued
- 3 Oct 2011
- Record last updated
- 3 Oct 2011
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.