Peine Osteopathic Medicine Pllc Valid NPI
Organization · Family Medicine Physician · Eagle, ID
- NPI
- 1306010046
- Type
- Organization (Type 2)
- Primary specialty
- Family Medicine Physician (Family Medicine)
- Specialty group
- Allopathic & Osteopathic Physicians
- Taxonomy code
- 207Q00000X
- License number
- O-0366 (ID)
- Enumerated
- 2008-04-14
- Last updated
- 2008-04-14
Practice location
450 W State St, Suite 250
Eagle, ID 83616-7057
(208) 947-0925