| NPI | 1114954179 |
|---|---|
| Doing Business As | SANDPOINT PEDIATRICS IN BONNERS FERRY |
| Entity Type | Organization |
| Authorized Contact | BECKY SHELTON Manager 208-265-2242 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: ID m-4954) |
| Additional Taxonomies | 2080A0000X Pediatrics, Adolescent Medicine (Licence: ID M6447) |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2020-08-22 |