| NPI | 1063872489 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOWARD RUSTY ARRINGTON Provider / Owner 208-734-9531 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ID NP-1688A) |
| Enumeration Date | 2016-02-26 |
| Last Update Date | 2016-02-26 |