THE PEDIATRIC AND ADOLESCENT CENTER, INC.

BOISE, ID
NPI1144341637
Entity TypeOrganization
Authorized ContactWILLIAM SULLIVAN BOURQUARD
Owner
208-322-5437
Organization Subpart ?No
Primary Taxonomy173000000X Legal Medicine
(Licence: ID  M-5223)
Enumeration Date2007-04-02
Last Update Date2020-08-22
Business Address
THE PEDIATRIC AND ADOLESCENT CENTER, INC.
6148 N DISCOVERY WAY SUITE 100
BOISE, ID 83713-0201
Phone number: 208-322-5437
Mailing Address
THE PEDIATRIC AND ADOLESCENT CENTER, INC.
6148 N DISCOVERY WAY SUITE 100
BOISE, ID 83713-0201
Phone number: 208-322-5437
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