SANTA CLARA PEDIATRICS & BEHAVIORAL HEALTH PC
Organization (NPI-2)
Active
Nurse Practitioner, Pediatrics
Provider Information
- NPI Number
1538911094- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 452 S 6TH AVE, POCATELLO, ID, 832015810
- Phone
- (847) 970-8720
Specialties & Taxonomies
Nurse Practitioner, Pediatrics
Primary