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Eagle Pediatrics,p.a.
Primary Care Clinic/Center in Eagle, Idaho
NPI 1447475918

Eagle Pediatrics,p.a. is a Primary Care Clinic/Center based in Eagle, ID and is specialized in Primary Care. Eagle Pediatrics,p.a. practices in Eagle, ID. The NPI Number for Eagle Pediatrics,p.a. is 1447475918 and holds a License No. M6036 (Idaho).

The current practice location address for Eagle Pediatrics,p.a. is 125 N. Stierman, Eagle, ID and can be reached out via phone at 208-939-4880 and via fax at 208-939-5003.

Location: 125 N. Stierman, Eagle, ID, 83616-0000
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1447475918
Provider Name
Eagle Pediatrics,p.a.
Credential
Provider Entity Type
Organization
Address
125 N. Stierman, Eagle, ID, 83616-0000
Phone Number
208-939-4880
Fax Number
208-939-5003
Provider Enumeration Date
04/17/2007
Last Update Date
02/15/2025
institution
Provider Business Practice Location Address Details
Address
125 N. Stierman
City
Eagle
State
Idaho
Zip
83616-5136
Phone Number
208-939-4880
Fax Number
208-939-5003
person
Provider Business Mailing Address Details
Address
125 N. Stierman
City
Eagle
State
Idaho
Zip
83616-5136
Phone Number
208-939-4880
Fax Number
208-939-5003
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
M6036 (Idaho)
Definition
Definition to come...
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