The Pediatric and Adolescent Center, Inc
The Pediatric and Adolescent Center, Inc provides Legal Medicine in Boise, Idaho. Licensed in Idaho. Registered with an NPI since 2007.
- Licensed in
- ID
- In the registry since
- 2007
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
6148 N Discovery Way Ste 100Boise, ID 83713-0201
Phone: (208) 322-5437
Fax: (208) 322-6013
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Legal Medicine (primary) | Taxonomy 173000000X · Licence M-5223 (ID) |
|---|
Record details
| NPI number | 1144341637 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | William Bourquard — Owner · (208) 322-5437 |
| NPI enumerated | April 2, 2007 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 6148 N Discovery Way, Suite 100, Boise, ID 83713-0201 |
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