Idaho Falls Pediatrics
NPI #1366560971 in Ammon, Idaho
Provider Information
- NPI Number
- 1366560971
- Entity Type
- Organization
- Organization Name
- Idaho Falls Pediatrics
- Primary Specialty
- Pediatrics - Adolescent Medicine
- Enumeration Date
- Mar 26, 2007
- Last Updated
- Dec 5, 2024
Practice Location
Authorized Official
- Name
- DR. RON WADE PORTER, MD
- Title
- OWNER
- Phone
- (208) 522-4600
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pediatrics - Adolescent Medicine — Adolescent Medicine |
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