Neonatal Associates, Pllc
NPI #1790939056 in Idaho Falls, Idaho
Provider Information
- NPI Number
- 1790939056
- Entity Type
- Organization
- Organization Name
- Neonatal Associates, Pllc
- Primary Specialty
- Pediatrics - Neonatal-Perinatal Medicine
- Enumeration Date
- Nov 12, 2008
- Last Updated
- Nov 12, 2008
Practice Location
- Address
- 3100 CHANNING WAY
- City
- Idaho Falls
- State
- Idaho
- ZIP Code
- 83404-7533
- Phone
- (208) 529-7165
Authorized Official
- Name
- SHANNON JENKINS, D.O.
- Title
- MANAGER
- Phone
- (208) 529-7165
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pediatrics - Neonatal-Perinatal Medicine — Neonatal-Perinatal Medicine |
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