Eagle Pediatrics, PA
Eagle Pediatrics, PA is a Primary Care Clinic/Center in Eagle, Idaho. Licensed in Idaho. Registered with an NPI since 2007.
- Licensed in
- ID
- In the registry since
- 2007
What do these letters mean?
- PA — Professional association
- A form of business registration, not a clinical qualification.
Practice location Address checks out
125 N Stierman Ste AEagle, ID 83616-5136
Phone: (208) 939-4880
Fax: (208) 939-5003
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Primary Care Clinic/Center (primary) | Taxonomy 261QP2300X · Licence M6036 (ID) |
|---|
Record details
| NPI number | 1447475918 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Alan Miller — Owner · (208) 939-4880 |
| Other names | Eagle Pediatrics |
| NPI enumerated | April 17, 2007 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 125 N. Stierman Way, Suite A, Eagle, ID 83616-0000 |
Other providers in Eagle
-
Shadow Pines Health & Wellness LLC
408 S Eagle Rd Ste 205, Eagle, ID 83616-6079 · (208) 244-0534
-
St Luke's Treasure Valley Pediatrics
450 W State St Ste 100, Eagle, ID 83616-7055 · (208) 939-1035