| NPI | 1013760586 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WREN EVAN MURRAY CEO/Owner 208-251-7799 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine |
| Enumeration Date | 2024-04-08 |
| Last Update Date | 2024-10-16 |