PPGNW - IDAHO
Organization (NPI-2)
Active
Obstetrics & Gynecology, Gynecology
Provider Information
- NPI Number
1760884324- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 2112 E FRANKLIN RD, MERIDIAN, ID, 836429024
- Phone
- (800) 769-0045
Specialties & Taxonomies
Obstetrics & Gynecology, Gynecology
Primary License: ID #7717