John Milton Idso, MD
Pediatrics in Washington, DC. Individual provider (NPI-1).
NPI number1437619087
StatusActive
Last updated in NPPESJul 7, 2023
Details
- NPI
- 1437619087
- Entity type
- Individual (NPI-1)
- Name
- John Milton Idso
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 20, 2019
- Certification date
- Jul 7, 2023
- Last updated
- Jul 7, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | 0101277272 | VA | Yes |
Practice location
111 Michigan Ave NwWashington, DC 20010-2916
Phone 202-476-5000
Mailing address
Po Box 744785Atlanta, GA 30374-4785
Phone 202-476-5000
Other practice locations
111 Michigan Ave Nw
Washington, DC 20010-2916
Washington, DC 20010-2916
Phone 202-476-3670 · Fax 202-476-4741
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