MAVERICK MITTON

Student in an Organized Health Care Education/Training Program

Active Individual
NPI: 1396602249

Practice Address

775 POLE LINE RD
Twin Falls, ID 83301

Phone: (208) 814-1000

Specialties

Specialty Code Primary License
Student in an Organized Health Care Education/Training Program 390200000X Yes -

Frequently Asked Questions

NPI 1396602249 is the National Provider Identifier for MAVERICK MITTON, a Student in an Organized Health Care Education/Training Program provider located in Twin Falls, ID. This NPI was enumerated on January 5, 2026.
MAVERICK MITTON practices at 775 POLE LINE RD, Twin Falls, ID 83301.

Quick Facts

NPI
1396602249
Type
Individual
Enumerated
Jan 5, 2026
Last Updated
Jan 5, 2026

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