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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