NPI 1619430303

Hailey N. Baisch, MD

Practitioner Pediatrics Physician Eagle, ID

Practice location

Address: 450 W State St STE 100, Eagle, ID 83616-7055
Phone: (208) 939-1035
Mailing address: 190 E Bannock St, Boise, ID 83712-6241

Registered specialties (2)

Pediatrics Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence M-16659 (ID)

Other Pediatrics providers in Idaho →

Pediatrics Physician

Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence 11924118-1205 (UT)

Registry record

NPI: 1619430303
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 Apr 2019
Record last updated: 26 Jul 2022

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.