SOUTHERN IDAHO OPHTHALMOLOGY PLLC
Organization (NPI-2)
Active
Ophthalmology
Provider Information
- NPI Number
1093189581- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 1415 PARKVIEW DR, TWIN FALLS, ID, 833013250
- Phone
- (208) 734-8934
- Fax
- (208) 734-8974
Specialties & Taxonomies
Ophthalmology
License: ID #M4223
Ophthalmology
License: ID #M12126
Ophthalmology
Primary License: ID #M9542