Organization
TREASURE VALLEY PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATIE A APPLE (ADMINISTRATOR)
(208) 884-1030
Entity
Organization
Contact information
Practice address
1620 S CELEBRATION AVE, MERIDIAN, ID 83642-2779
(208) 884-1030
(208) 884-3058
Mailing address
1620 S CELEBRATION AVE, MERIDIAN, ID 83642-2779
(208) 884-1030
(208) 884-3058
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
11/06/2006
Last updated
08/22/2020
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