GEM STATE PEDIATRICS

MERIDIAN, ID
NPI1992853386
Entity TypeOrganization
Authorized ContactMARIO BRUS
Owner
208-706-5460
Organization Subpart ?No
Primary Taxonomy208000000X Pediatrics
(Licence: ID  M5562)
Enumeration Date2007-01-08
Last Update Date2020-08-22
Business Address
GEM STATE PEDIATRICS
520 S EAGLE RD SUITE 1209
MERIDIAN, ID 83642-6308
Phone number: 208-706-5460
Mailing Address
GEM STATE PEDIATRICS
520 S EAGLE RD SUITE 1209
MERIDIAN, ID 83642-6308
Phone number: 208-706-5460