Northwest Childrens & Adolescents Clinic

NPI #1295896132 in Boone, North Carolina

Provider Information

NPI Number: 1295896132
Entity Type: Organization
Organization Name: Northwest Childrens & Adolescents Clinic
Primary Specialty: Pediatrics
Enumeration Date: Dec 13, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 134 DOCTORS DR
City: Boone
State: North Carolina
ZIP Code: 28607-5000
Phone: (828) 265-2178

Authorized Official

Name: DR. EDITH KOCIS, M.D.
Title: PHYSICIAN
Phone: (828) 265-2178

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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