Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MITCHELL JACKSON MOFFITT, M.D.
ActivePediatrics · TWIN FALLS, ID
Registration Details
- NPI Number
- 1093895229
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 16, 2006 (19.531105810696 yrs)
- Last Updated
- Jan 7, 2015
- License
-
M-10017 (ID)
Practice Information
- Address
-
775 POLE LINE RD WSUITE 111TWIN FALLS, ID, 833015814Browse ID providers · Browse ZIP 83301
- Phone
- 2088148000
- Fax
- 2087339402
- Primary Specialty
-
Pediatrics
208000000X
Other Pediatrics Providers in TWIN FALLS, ID
| Name | Credential | NPI |
|---|---|---|
| JANE SCOTT | M.D. | 1700827193 |
| JOHN F TROTTER | M.D. | 1649213729 |
| KATHRYN G REESE | M.D. | 1386688802 |
| GREGORY P JONES | M.D. | 1568406692 |
| RONALD MILLER | M.D. | 1104860246 |
| DR. JEFFREY L MULERT | MD | 1790988509 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.