Oasis Pediatrics

NPI #1558641274 in Eagle, Idaho

Provider Information

NPI Number: 1558641274
Entity Type: Organization
Organization Name: Oasis Pediatrics
Primary Specialty: Pediatrics
Enumeration Date: Aug 25, 2011
Last Updated: Aug 25, 2011

Practice Location

Address: 3217 W BAVARIA ST
City: Eagle
State: Idaho
ZIP Code: 83616-5171
Phone: (208) 602-2863

Authorized Official

Name: CARRIE HUMPHREY, MD
Title: PRINCIPAL OFFICER
Phone: (208) 602-2863

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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