NPI age
15 years
Enumerated 2010-08-27
Across 252 active pediatrics providers in Idaho.
12 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 807016700 |
Multi-provider organization. 12 individual providers on file at this primary address.
Subpart of Treasure Valley Pediatrics.
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