ID DEPT OF HEALTH & WELFARE CSHP (SLC)

Pediatrics Physician

NPI: 1396868501Organization

Specialties, Licenses & Credentials

Pediatrics PhysicianPrimary

Pediatrics

Code: 208000000X

Contact & Hours

Address: 100 E IDAHO ST, STE 200
BOISE, ID 83712
Phone: (208) 381-7092

Quick Facts

NPI: 1396868501
Entity Type: Organization
Medicare: Not confirmed
Specialties: 1
Locations: 1

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