Individual
ANGELLA M ZIEBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3217 W BAVARIA ST, EAGLE, ID 83616-5171
(208) 302-6200
(208) 302-6245
Mailing address
PO BOX 190930, BOISE, ID 83719-0930
(208) 367-5170
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
M8679
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M8679
STATE LICENSE #
ID
Enumeration date
05/16/2006
Last updated
06/04/2025
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