NPI 1093895229

Mitchell Jackson Moffitt, MD

Practitioner Pediatrics Physician Twin Falls, ID

Practice location

Address: 775 Pole Line Rd W Suite 111, Twin Falls, ID 83301-5814
Phone: (208) 814-8000
Fax: (208) 733-9402
Mailing address: PO Box 587, Twin Falls, ID 83303-0587

Registered specialties

Pediatrics Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence M-10017 (ID)

Other Pediatrics providers in Idaho →

Registry record

NPI: 1093895229
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Oct 2006
Record last updated: 7 Jan 2015

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.