Organization · Type 2 NPI

Heroic Diabetes Incorporated

Pediatrics Physician · Meridian, ID

NPI number 1508742909 Active

Practice location

4214 N Ambercreek Ave
Meridian, ID 83646-7019

Mailing address

1302 Meadowview Ave
Rexburg, ID 83440-5079

Specialties and licenses

TaxonomyCodeLicense
Pediatrics Physician Primary 208000000XNone listed

Pediatrics Physician: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on de…

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About NPI 1508742909

Heroic Diabetes Incorporated's National Provider Identifier is 1508742909, issued on Aug 12, 2025. The primary taxonomy on file is Pediatrics Physician (208000000X), and the practice location is in Meridian, ID. The record was last updated on Mar 16, 2026.