Organization · Type 2 NPI

Snake River Pediatrics, PC

Rural Health Clinic/Center · Fruitland, ID

NPI number 1720489396 Active

Practice location

1100 NW 12th St
Fruitland, ID 83619-5040

Fax (541) 216-6557

Specialties and licenses

TaxonomyCodeLicense
Primary Care Clinic/Center 261QP2300XPA00913 (OR)
Rural Health Clinic/Center Primary 261QR1300XNone listed

Rural Health Clinic/Center: Definition to come...

15 other providers at this address

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About NPI 1720489396

Snake River Pediatrics, PC's National Provider Identifier is 1720489396, issued on Sep 14, 2014. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Fruitland, ID. The record was last updated on Aug 16, 2023.