AARON J AFFLECK MD PA; NPI #1972983344

Contact Information

AARON J AFFLECK MD PA

2900 VALENCIA DR
IDAHO FALLS, ID 83404-7594

Phone: 208-523-6868
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Eyewear Supplier	332H00000X	87	All Other Suppliers

Indicates primary specialty

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NPI Profile & details for AARON J AFFLECK MD PA

NPI # 1972983344

LBN Legal business name AARON J AFFLECK MD PA

Authorized official AARON AFFLECK - (PHYSICIAN/OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 06/01/2015

Last updated 06/01/2015 - About 11 years ago

Identifiers

ID	License #	M8206
ID	Medicaid	002797900

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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AARON J AFFLECK MD PA

Contact Information

Specialty

Eyewear Supplier

NPI Profile & details for AARON J AFFLECK MD PA

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