Idaho Falls Pediatrics
Idaho Falls Pediatrics is a Pediatric Adolescent Medicine Physician in Ammon, Idaho. Licensed in Idaho. Registered with an NPI since 2007.
- Licensed in
- ID
- In the registry since
- 2007
Practice location Address checks out
3067 Eagle DrAmmon, ID 83406-1273
Phone: (208) 522-4600
Fax: (208) 552-7521
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pediatric Adolescent Medicine Physician (primary) | Taxonomy 2080A0000X · Licence M7271 (ID) |
|---|
Record details
| NPI number | 1366560971 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Ron Porter — Owner · (208) 522-4600 |
| NPI enumerated | March 26, 2007 |
| Last updated in NPPES | December 5, 2024 |
| Certification date | December 5, 2024 |
| Mailing address | 3067 Eagle Dr, Ammon, ID 83406-1273 |
Other providers in Ammon
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Dr. Mitchael Conrad Steorts, MD
3067 Eagle Dr, Ammon, ID 83406-1273 · (208) 522-4600