; NPI #1932496866

Contact Information

DINAH S REILLY, PHD

179 SW 5TH AVE
MERIDIAN, ID 83642-2995

Phone: 208-367-8282
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Children	283XC2000X

Indicates primary specialty

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NPI Profile & details for

NPI # 1932496866

Entity Organization

Organization subpart ¹ Not specified

Enumeration date 06/29/2011

Last updated 06/29/2011 - About 15 years ago

Identifiers

License #

PT-474

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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Contact Information

Specialty

Children

NPI Profile & details for

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