| NPI | 1013264183 |
|---|---|
| Doing Business As | DRIGGS CLINIC |
| Entity Type | Organization |
| Authorized Contact | JILL PAYNE Chief Of Compliance 208-354-6352 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health (Licence: ID 31) |
| Additional Taxonomies | 207XX0005X Orthopaedic Surgery, Sports Medicine |
| 207Y00000X Otolaryngology | |
| 208600000X Surgery | |
| 208VP0014X Pain Medicine, Interventional Pain Medicine | |
| 363AM0700X Physician Assistant, Medical | |
| 363LF0000X Nurse Practitioner, Family | |
| 363LP0200X Nurse Practitioner, Pediatrics | |
| 207LP2900X Anesthesiology, Pain Medicine | |
| 207Q00000X Family Medicine | |
| 207W00000X Ophthalmology | |
| 207X00000X Orthopaedic Surgery | |
| Enumeration Date | 2012-08-08 |
| Last Update Date | 2020-02-20 |