SearchIdaho207Q00000X

Joseph Ippolito, M.D

NPI 1306862792 · on the registry since 2006 · sole proprietor

Practice

Address
526 Shoup Ave W
Suite F
Twin Falls, ID 83301
Phone
(208) 736-7620
Fax
(208) 735-9537
Organisation at this address
K2red Llc
K2red L.L.C.
K2red L.L.C.
M Cole Johnson, Inc
Richard W Worst Md Pa
Inferred from a shared address, not stated in the registry.
Clinicians at this address
23

Registry record

Primary taxonomy
207Q00000X
207Q00000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-11-23

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho