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

The Pediatric Place

Organization Pediatrics Physician · NPI 1801350590

The Pediatric Place is a Pediatrics Physician in Rexburg, Idaho. Registered with an NPI since 2019.

In the registry since
2019

Practice location Address checks out

1236 Bond Ave Ste B
Rexburg, ID 83440-3503
Phone: (208) 701-0277
Fax: (208) 701-0294
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X

Record details

NPI number1801350590
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Abram Collard — Pediatrician · (208) 701-0277
NPI enumeratedJanuary 26, 2019
Last updated in NPPESNovember 8, 2021
Certification dateNovember 8, 2021
Mailing address1236 Bond Ave Ste B, Rexburg, ID 83440-3503

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