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Individual

ANDREA ELISABETH PRASCH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1620 S CELEBRATION AVE, MERIDIAN, ID 83642-2779
(208) 884-1030
Mailing address
190 E BANNOCK ST, BOISE, ID 83712
(208) 381-2222

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
M-13728
ID

Other

Enumeration date
03/26/2014
Last updated
08/24/2017
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