MOHAMED KHALIFA
Individual Provider (NPI-1)
Active
Pediatrics
Provider Information
- NPI Number
1528467552- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 801 POLE LINE RD W, TWIN FALLS, ID, 833015810
- Phone
- (208) 381-2645
Specialties & Taxonomies
Pediatrics
License: ID #MC-1489
Hospitalist
License: TX #S1427
General Acute Care Hospital
Pediatrics
Primary License: TX #S1427
All Addresses
MAILING
190 E BANNOCK ST
BOISE, ID, 837126241