| NPI | 1033737887 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN HENNESSY CEO 208-265-1100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2020-07-08 |
| Last Update Date | 2024-06-24 |