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UPPER VALLEY PEDIATRICS, PLLC

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Company Details

Name: UPPER VALLEY PEDIATRICS, PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Inactive-Dissolved (Administrative)
Date of registration: 20 May 2004 (21 years ago)
Financial Date End: 31 May 2011
Date dissolved: 10 Aug 2011
Entity Number: 105128
Place of Formation: IDAHO
File Number: 0000105128
ZIP code: 83440
County: Madison County
Principal Address: 36 PROFESSIONAL PLAZA REXBURG, ID 83440

National Provider Identifier

NPI Number:
1588724744

Authorized Person:

Name:
MR. GENE PRESTON GATES
Role:
MANAGING PARTNER
Phone:

Taxonomy:

Selected Taxonomy:
208000000X - Pediatrics Physician
Is Primary:
Yes

Contacts:

Fax:
2086568440

Filing

Filing Name Filing Number Filing date
Change of Registered Office/Agent/Both (by Entity) 0001316658 2010-04-14
Annual Report 0001316657 2010-04-06
Annual Report 0001316656 2009-03-16
Annual Report 0001316660 2008-03-17
Annual Report 0001316659 2007-03-22

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Date of last update: 23 Sep 2024

Sources: Idaho Secretary of State