| NPI | 1063551174 |
|---|---|
| Other Name | ICRM PC |
| Entity Type | Organization |
| Authorized Contact | GENIE T ANDREWS Bus Admin 208-342-5900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: ID M7577) |
| Additional Taxonomies | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: ID M8614) |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2020-08-22 |