SearchIdaho171M00000X

Paivi Brack

NPI 1073331344 · on the registry since 2024

Practice

Address
1407 West Mcmillan Road
Suite 120
Meridian, ID 83646
Phone
(208) 315-6717
Fax
(208) 315-6718
Clinicians at this address
9

Registry record

Primary taxonomy
171M00000X
171M00000X
Sex
Female
Record last updated
2024-09-26

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho