institution
Snake River Pediatrics, Pc
Rural Health Clinic/Center in Fruitland, Idaho
NPI 1720489396

Snake River Pediatrics, Pc is a Rural Health Clinic/Center based in Fruitland, ID and is specialized in Rural Health. Snake River Pediatrics, Pc practices in Fruitland, ID. The NPI Number for Snake River Pediatrics, Pc is 1720489396 and holds a License No. PA00913 (Idaho).

The current practice location address for Snake River Pediatrics, Pc is 1100 Nw 12Th St, Fruitland, ID and can be reached out via phone at 208-452-6556 and via fax at 541-216-6557.

Location: 1100 Nw 12Th St, Fruitland, ID, 83619-5040
institution
Provider Profile Details
NPI Number
1720489396
Provider Name
Snake River Pediatrics, Pc
Credential
Provider Entity Type
Organization
Address
1100 Nw 12Th St, Fruitland, ID, 83619-5040
Phone Number
208-452-6556
Fax Number
541-216-6557
Provider Enumeration Date
09/14/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1100 Nw 12Th St
City
State
Zip
83619-5040
Phone Number
208-452-6556
Fax Number
541-216-6557
person
Provider Business Mailing Address Details
Address
1100 Nw 12Th St
City
State
Zip
83619-5040
Phone Number
208-452-6556
Fax Number
541-216-6557
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rural Health
Taxonomy
License No.
PA00913 (Oregon)
Definition
Definition to come...
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