| NPI | 1033536974 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDY SCHRACK Credentialing 208-664-4026 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MO R2C32) |
| Enumeration Date | 2014-03-27 |
| Last Update Date | 2014-03-27 |