| NPI | 1073079463 |
|---|---|
| Doing Business As | PRIMARY HEALTH MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | LINDA BARNES Credentialing Mgr 208-985-1423 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2019-02-11 |
| Last Update Date | 2025-02-17 |