| NPI | 1053545848 |
|---|---|
| Doing Business As | IMED HRS IDAHO FALLS |
| Entity Type | Organization |
| Authorized Contact | KELLY J HOWARD Director 801-442-1425 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2009-05-07 |
| Last Update Date | 2009-05-07 |