Organization
WHITEWATER TMS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACQUELINE MARIE BELL DO (OWNER)
(602) 803-2765
Entity
Organization
Contact information
Practice address
908 N WHITEWATER PARK BLVD, BOISE, ID 83703-5822
(208) 573-4387
Mailing address
908 N WHITEWATER PARK BLVD, BOISE, ID 83703-5822
(208) 573-4387
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
—
—
Other
Enumeration date
10/26/2024
Last updated
10/26/2024
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