Organization · Type 2 NPI
Gem State Ent, PLLC
General Practice Physician · Twin Falls, ID
NPI number
1215715669
Active
Practice location
2102 Canyon Plaza Dr
Twin Falls, ID 83301-4513
Fax (208) 352-7333
Mailing address
2114 Village Park Ave # 200
Twin Falls, ID 83301-4172
Other practice locations
- 1501 Hiland Ave Ste M, Burley, ID 83318-2688 · (208) 352-7555
- 314 S River St, Hailey, ID 83333-8851 · (208) 352-7555
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | None listed |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
About NPI 1215715669
Gem State Ent, PLLC's National Provider Identifier is 1215715669, issued on Sep 18, 2023. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Twin Falls, ID. The record was last updated on Apr 8, 2025.