Organization
ADA PEDIATRICS, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT E LINDSAY M.D. (OWNER)
(208) 323-1222
Entity
Organization
Contact information
Practice address
650 N COLE RD, BOISE, ID 83704-9117
(208) 323-1222
(208) 323-1825
Mailing address
650 N COLE RD, BOISE, ID 83704-9117
(208) 323-1222
(208) 323-1825
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010006736
REGENCE BS OF IDAHO
—
01
—
86611
BLUE CROSS OF IDAHO
—
Enumeration date
07/01/2006
Last updated
08/22/2020
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