Organization · Type 2 NPI
Eagle Pediatrics,p.a.
Primary Care Clinic/Center · Eagle, ID
NPI number
1447475918
Active
Practice location
125 N. Stierman, Suite A
Eagle, ID 83616-5136
Fax (208) 939-5003
Mailing address
125 N. Stierman Way, Suite A
Eagle, ID 83616-0000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | M6036 (ID) |
Primary Care Clinic/Center: Definition to come...
Other primary care clinic/center providers in Eagle
About NPI 1447475918
Eagle Pediatrics,p.a.'s National Provider Identifier is 1447475918, issued on Apr 17, 2007. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Eagle, ID. The record was last updated on Aug 22, 2020.