Nathan J Hirsch, MD Valid NPI
Individual provider · Pediatrics Physician · Eagle, ID
- NPI
- 1669556643
- Type
- Individual (Type 1)
- Primary specialty
- Pediatrics Physician (Pediatrics)
- Specialty group
- Allopathic & Osteopathic Physicians
- Taxonomy code
- 208000000X
- License number
- M11639 (ID)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2006-10-25
- Last updated
- 2012-12-29
Practice location
450 W State St, Ste 100
Eagle, ID 83616
(208) 939-1035