IDAHO FALLS PEDIATRICS

AMMON, ID
NPI1366560971
Entity TypeOrganization
Authorized ContactRON WADE PORTER
Owner
208-522-4600
Organization Subpart ?No
Primary Taxonomy2080A0000X Pediatrics, Adolescent Medicine
(Licence: ID  M7271)
Enumeration Date2007-03-26
Last Update Date2024-12-05
Business Address
IDAHO FALLS PEDIATRICS
3067 EAGLE DR
AMMON, ID 83406-1273
Phone number: 208-522-4600
Mailing Address
IDAHO FALLS PEDIATRICS
3067 EAGLE DR
AMMON, ID 83406-1273
Phone number: 208-522-4600