| Dr Seth Branahl, MD | |
|
520 S Eagle Rd Ste 2209, Meridian, ID 83642-6354 | |
| (208) 706-6400 | |
| (208) 706-6402 |
| Full Name | Dr Seth Branahl |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 520 S Eagle Rd Ste 2209, Meridian, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801216940 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | M-13850 (Idaho) | Primary |
| Entity Name | St Lukes Clinic-treasure Valley Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326336058 PECOS PAC ID: 4981878402 Enrollment ID: O20111119000045 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Seth Branahl, MD 100 E Idaho St Ste 401, Boise, ID 83712-6267 Ph: (208) 514-6534 | Dr Seth Branahl, MD 520 S Eagle Rd Ste 2209, Meridian, ID 83642-6354 Ph: (208) 706-6400 |
Kristina Miles, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 2275 S Eagle Rd Ste 120, Meridian, ID 83642 Phone: 208-514-2520 Fax: 208-375-2217 | |
Mrs. Anne E. Riffle, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3653 N. Locust Grove Road, Meridian, ID 83646 Phone: 208-338-5437 Fax: 208-939-9811 | |
Robert F Adams, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 520 S Eagle Rd, Meridian, ID 83642 Phone: 208-336-9188 | |
Joshua Edwin Albright, Pediatrics Medicare: Medicare Enrolled Practice Location: 1620 S Celebration Ave, Meridian, ID 83642 Phone: 208-884-1030 | |
Lisa M. Barker, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1620 S Celebration Ave, Meridian, ID 83642 Phone: 208-884-1030 | |
Dr. Brian C Birch, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2921 S Meridian Rd, Meridian, ID 83642 Phone: 208-297-7847 Fax: 208-203-0097 | |
Susan C Kim, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3280 E Lanark Dr, Meridian, ID 83642 Phone: 208-377-4400 Fax: 208-377-4416 |