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Organization
SANDPOINT PEDIATRICS LLP
Active
Organization
SANDPOINT PEDIATRICS LLP
Active
Other names
Sandpoint Pediatrics In Bonners Ferry
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BECKY SHELTON (MANAGER)
(208) 265-2242
Entity
Organization
Contact information
Practice address
420 N 2ND AVE, 100, SANDPOINT, ID 83864-1552
(208) 265-2242
(208) 265-8214
Mailing address
420 N 2ND AVE, SANDPOINT, ID 83864-1552
(208) 265-2242
(208) 265-8214
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
M-4954
ID
2080A0000X
Pediatric Adolescent Medicine Physician
M6447
ID
Other
Enumeration date
06/27/2006
Last updated
08/22/2020
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