| NPI | 1003231911 |
|---|---|
| Doing Business As | FAMILY MEDICAL CLINIC OF CHUBBUCK |
| Entity Type | Organization |
| Authorized Contact | SCOTT ROBERT BARLOW Owner 208-251-6955 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2014-02-28 |
| Last Update Date | 2014-04-28 |