| NPI | 1003137050 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM RICHTER BOZARTH Owner 208-746-3320 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: ID M3626) |
| Enumeration Date | 2010-06-14 |
| Last Update Date | 2010-06-14 |