Id Dept Of Health & Welfare Cshp (gen)

NPI 1275655995 - Pediatrics - 208000000X

NPI Details
NPI 1275655995
Enumeration Date 04/04/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name PAIGE PAIGE
Position ACTING PROGRAM MANAGER
Phone (208) 334-4935
Fax (208) 332-7307
Practice Location
450 W STATE ST
4TH FLOOR
BOISE ID, 83702-6056, US
Phone (208) 334-4935
Fax (208) 332-7307
Business Location
PO BOX 83720
4TH FLOOR
BOISE ID, 83720-0036, US
Phone (208) 334-4935
Fax (208) 332-7307
Toxanomy
Taxonomy Code 208000000X
License State
License Number
Remove 1275655995 NPI Number
 

According to our database, Id Dept Of Health & Welfare Cshp (gen) NPI is 1275655995, taxonomy code is 208000000X Id Dept Of Health & Welfare Cshp (gen) physically located at 450 W State St, Boise ID, 83702-6056. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1275655995 NPI number is provided on an as is basis without warranty of any kind. 1275655995 is maintained by the National Plan & Provider Enumeration System. The contents of Id Dept Of Health & Welfare Cshp (gen) are for informational purposes only.