Organization · Type 2 NPI
Pediatric Surgery of Idaho
Pediatric Surgery Physician · Boise, ID
NPI number
1609997261
Active
Practice location
100 E Idaho St Ste 300
Boise, ID 83712-6269
Fax (208) 345-5454
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Surgery Physician Primary | 2086S0120X | None listed |
Pediatric Surgery Physician: A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.
3 other providers at this address
Other pediatric surgery physician providers in Boise
About NPI 1609997261
Pediatric Surgery of Idaho's National Provider Identifier is 1609997261, issued on Apr 2, 2007. The primary taxonomy on file is Pediatric Surgery Physician (2086S0120X), and the practice location is in Boise, ID. The record was last updated on Aug 22, 2020.