Jump Start Pediatrics
NPI #1881072817 in Coeur D Alene, Idaho
Provider Information
- NPI Number
- 1881072817
- Entity Type
- Organization
- Organization Name
- Jump Start Pediatrics
- Primary Specialty
- Supports Brokerage
- Enumeration Date
- May 11, 2015
- Last Updated
- May 11, 2015
Practice Location
- Address
- 411 W HAYCRAFT AVE STE D4
- City
- Coeur D Alene
- State
- Idaho
- ZIP Code
- 83815-8104
- Phone
- (206) 664-2468
Authorized Official
- Name
- BECCA FAHEY
- Title
- OFFICE MANAGER
- Phone
- (208) 664-2468
Specialties & Taxonomy Codes
| Specialty |
|---|
| Supports Brokerage |
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