| Eagle Pediatrics | |
|
125 N. Stierman Suite A Eagle ID 83616-5136 | |
| (208) 939-4880 | |
| (208) 939-5003 |
| Full Name | Eagle Pediatrics |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 125 N. Stierman, Eagle, Idaho |
| Authorized Official Name and Position | Alan P Miller (OWNER) |
| Authorized Official Contact | 2089394880 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eagle Pediatrics 125 N. Stierman Way Suite A Eagle ID 83616-0000 Ph: (208) 939-4880 | Eagle Pediatrics 125 N. Stierman Suite A Eagle ID 83616-5136 Ph: (208) 939-4880 |
| NPI Number | 1447475918 |
|---|---|
| Provider Enumeration Date | 04/17/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447475918 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | M6036 (Idaho) | Primary |
Eagle Creek Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1281 E. Iron Eagle Dr, Eagle, ID 83616 Phone: 208-939-5535 Fax: 208-939-5536 |
Primary Health Medical Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1895 Mcgrath Rd, Eagle, ID 83616 Phone: 208-939-8200 Fax: 208-939-8222 |
Enhanced Aesthetics and Wellness Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 367 S Academy Ln, Eagle, ID 83616 Phone: 985-778-7582 |
Family & Functional Medicine of Idaho PLLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 450 W State St, Suite 250, Eagle, ID 83616 Phone: 208-947-0925 Fax: 208-947-0926 |
Linda D Burke MD PA Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 445 S. Fitness Place, Eagle, ID 83616 Phone: 208-939-2332 Fax: 208-939-7676 |
Summit Medical Providers LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2205 E Riverside Dr, Eagle, ID 83616 Phone: 801-867-9760 Fax: 801-880-4400 |