| NPI | 1073528998 |
|---|---|
| Doing Business As | THE PEDIATRIC CENTER |
| Entity Type | Organization |
| Authorized Contact | MICHAEL JUDE PANKAU President 208-523-3060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2020-08-22 |