NPI 1669556643

Nathan J Hirsch, MD

Practitioner Pediatrics Physician Eagle, ID

Practice location

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

Registered specialties (2)

Pediatrics Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence M11639 (ID)

Other Pediatrics providers in Idaho →

Pediatrics Physician

Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence G84579 (CA)

Registry record

NPI: 1669556643
Entity type: Individual
Sex (as registered): Male
NPI issued: 25 Oct 2006
Record last updated: 29 Dec 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.