The Pediatric Place

NPI #1801350590 in Rexburg, Idaho

Provider Information

NPI Number: 1801350590
Entity Type: Organization
Organization Name: The Pediatric Place
Primary Specialty: Pediatrics
Enumeration Date: Jan 26, 2019
Last Updated: Nov 8, 2021

Practice Location

Address: 1236 BOND AVE STE B
City: Rexburg
State: Idaho
ZIP Code: 83440-3503
Phone: (208) 701-0277

Authorized Official

Name: DR. ABRAM COLLARD, DO
Title: PEDIATRICIAN
Phone: (208) 701-0277

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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