Rodriguez-Valdivia, Yolanda

Rodriguez-Valdivia, Yolanda is an individual health care provider with primary practice located at 2850 Olympus Dr , Pocatello ID 83201. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Rodriguez-Valdivia, Yolanda can be contacted via phone (208) 239-3815.

Contact Information

Primary practice address
2850 Olympus Dr Pocatello ID 83201
Phone: (208) 239-3815
Fax: (218) 239-3814
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X M10385 Idaho

Profile Details

NPI number 1093701351
LBN Legal business name Rodriguez-Valdivia, Yolanda
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2005
Last updated Dec 28th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093701351 NPPES
Idaho MEDICAID 807241700
Idaho MEDICAID 1093701351

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