Organization · Type 2 NPI
Mountain States Neonatology, Inc.
Neonatal-Perinatal Medicine Physician · Boise, ID
NPI number
1205850823
Active
Practice location
1055 N Curtis Rd
Boise, ID 83706-1309
Fax (208) 367-7616
Mailing address
1301 Concord Ter
Sunrise, FL 33323-2843
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Maternal & Fetal Medicine Physician | 207VM0101X | None listed |
| Neonatal-Perinatal Medicine Physician Primary | 2080N0001X | None listed |
| Pediatric Critical Care Medicine Physician | 2080P0203X | None listed |
| Neonatal Nurse Practitioner | 363LN0000X | None listed |
Neonatal-Perinatal Medicine Physician: A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
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About NPI 1205850823
Mountain States Neonatology, Inc.'s National Provider Identifier is 1205850823, issued on Jul 27, 2006. The primary taxonomy on file is Neonatal-Perinatal Medicine Physician (2080N0001X), and the practice location is in Boise, ID. The record was last updated on Oct 23, 2024.