Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Upper Valley Pediatrics

Organization Pediatrics Physician · NPI 1588724744

Upper Valley Pediatrics provides Pediatrics Physician services in Rexburg, Idaho. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

36 Professional Plz
Rexburg, ID 83440
Phone: (208) 356-0234
Fax: (208) 656-8440
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X

Record details

NPI number1588724744
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gene Gates — Managing Partner · (208) 356-0234
NPI enumeratedDecember 11, 2006
Last updated in NPPESAugust 22, 2020
Mailing address36 Professional Plaza, Rexburg, ID 83440

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