Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Physician Center a Professional Company Mid Level

Organization Family Medicine Physician · NPI 1245414028

Physician Center a Professional Company Mid Level is a Family Medicine Physician in Twin Falls, Idaho. Registered with an NPI since 2007.

In the registry since
2007
Specialties on file
2

Practice location Address checks out

775 Pole Line Rd W Ste 105 & 111
Twin Falls, ID 83301-5814
Phone: (208) 814-8000
Fax: (208) 733-9402
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Pediatrics Physician Taxonomy 208000000X

Record details

NPI number1245414028
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mitchell Moffitt — Physician · (208) 814-8000
NPI enumeratedDecember 28, 2007
Last updated in NPPESMarch 9, 2013
Mailing address775 Pole Line Rd W, Suite 105 & 111, Twin Falls, ID 83301-5814

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