Organization Name: | PHYSICIAN CENTER A PROFESSIONAL COMPANY MID LEVEL |
NPI Number: | 1245414028 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MITCHELL J MOFFITT (PHYSICIAN) |
Mailing Address: | 775 Pole Line Rd W Suite 105 & 111 Twin Falls |
State: | ID US |
Postal Code: | 833015814 |
Phone Number: | 2088148000 |
Fax Number: | 2087339402 |
NPI Enumeration Date: | 12/28/2007 |
NPI Last Update Date: | 03/09/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208000000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Pediatrics |
Taxonomy Specialization: | |
Taxonomy Definition: | A pediatrician 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. |