OASIS PEDIATRICS
Medical Practice at Bavaria St, Pearl, ID

License number
Idaho M9582
Category
Medical Practice
Type
Pediatrics
Owner
Name: CARRIE HUMPHREY MD
Title: PRINCIPAL OFFICER
Phone: (208) 602-2863
Address
Address
3217 W Bavaria St, Pearl, ID 83616
National Provider ID: 1558641274
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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