| NPI | 1053584581 |
|---|---|
| Doing Business As | MIDLEVEL GROUP |
| Entity Type | Organization |
| Authorized Contact | LINDA MEACHAM Business Office Manager 208-476-8003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Enumeration Date | 2008-04-04 |
| Last Update Date | 2008-04-22 |