Katelyn Brigham Valid NPI
Individual provider · Pediatrics Physician · Eagle, ID
- NPI
- 1932788189
- Type
- Individual (Type 1)
- Primary specialty
- Pediatrics Physician (Pediatrics)
- Specialty group
- Allopathic & Osteopathic Physicians
- Taxonomy code
- 208000000X
- License number
- M-17891 (ID)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2021-04-05
- Last updated
- 2024-09-05
Practice location
450 W State St
Eagle, ID 83616-7057
(208) 939-1035