Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Medical Center for Children & Adolescents, PA

Organization Pediatrics Physician · NPI 1073528998

Medical Center for Children & Adolescents, PA is a Pediatrics Physician in Idaho Falls, Idaho. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3430 Washington Pkwy
Idaho Falls, ID 83404-7579
Phone: (208) 523-3060
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X

Record details

NPI number1073528998
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Pankau — President · (208) 523-3060
Other names The Pediatric Center
NPI enumeratedJuly 29, 2006
Last updated in NPPESAugust 22, 2020
Mailing address3430 Washington Pkwy, Idaho Falls, ID 83404-7579

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