Whalio Doctors

NPI 1033154828

Noreen A. Womack, MD

Practitioner Pediatrics Physician Eagle, ID

Practice location

Address
450 W State St Suite 100, Eagle, ID 83616-7057
Phone
(208) 939-1035
Fax
(208) 939-8970
Mailing address
190 E Bannock St, Boise, ID 83712-6241

Registered specialties

Pediatrics Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence M8127 (ID)

Registry record

NPI
1033154828
Entity type
Individual
Sex (as registered)
Female
NPI issued
17 Jun 2006
Record last updated
23 Sep 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.