Noreen A. Womack MD

NPI 1033154828 - Pediatrics - 208000000X

NPI Details
NPI 1033154828
Gender Female
Enumeration Date 06/17/2006
Last Updated 09/23/2012
Entity Type Individual
Active Over 10 years ago
Practice Location
450 W STATE ST
SUITE 100
EAGLE ID, 83616-7057, US
Phone (208) 939-1035
Fax (208) 939-8970
Business Location
190 E BANNOCK ST
BOISE ID, 83712-6241, US
Phone (208) 381-2222
Fax
Toxanomy
Taxonomy Code 208000000X
License State Idaho
License Number M8127
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According to our database, Noreen A. Womack MD NPI is 1033154828, taxonomy code is 208000000X and license number is M8127, license state is located at Idaho. Noreen A. Womack MD physically located at 450 W State St, Eagle ID, 83616-7057. NPI Number Noreen A. Womack MD has the Individual type.

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1033154828 NPI number is provided on an as is basis without warranty of any kind. 1033154828 is maintained by the National Plan & Provider Enumeration System. The contents of Noreen A. Womack MD are for informational purposes only.