| NPI | 1053494146 |
|---|---|
| Doing Business As | EAGLE CREEK FAMILY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | VICKI L WOOLL Owner 208-939-5535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2015-02-10 |