Dr. Mitchell Jackson Moffitt
M.D. | Pediatrics | Male
Dr. Mitchell Jackson Moffitt, M.D. is a Twin Falls, Idaho based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Dr. Mitchell Jackson Moffitt is
775 Pole Line Rd W, Suite 111, Twin Falls, Idaho - 83301-5814. He can be contacted on phone at
208-814-8000 and fax number 208-733-9402.
Dr. Mitchell Jackson Moffitt is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Mitchell Jackson Moffitt is
1093895229 which was assigned by NPPES on 16 Oct, 2006 and it was last updated on 07 Jan, 2015.
Dr. Mitchell Jackson Moffitt license number is
M-10017 for Pediatrics (208000000X) in Idaho.
Dr. Mitchell Jackson Moffitt is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Dr. Mitchell Jackson Moffitt basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Dr. Mitchell Jackson Moffitt |
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| Credential : | M.D. |
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| Gender : | Male |
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Business Address:
Dr. Mitchell Jackson Moffitt address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 775 Pole Line Rd W, Suite 111
Twin Falls, ID, 83301-5814
United States |
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| Phone Number : | 208-814-8000 |
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| Fax Number : | 208-733-9402 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1093895229 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 16 Oct, 2006 |
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| Last Updated On : | 07 Jan, 2015 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Mitchell Jackson Moffitt are as mentioned. Primary taxonomy code for Dr. Mitchell Jackson Moffitt, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | M-10017 | ID |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Mitchell Jackson Moffitt such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 807839500 | MEDICAID | ID | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 587
Twin Falls, ID, 83303-0587
United States |
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| Phone Number : | 208-814-7400 |
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| Fax Number : | 208-814-7491 |
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Business Location:
Patients can refer following map for directions to
Dr. Mitchell Jackson Moffitt practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.