| NPI | 1073154266 |
|---|---|
| Doing Business As | SEASONS MEDICAL BY MADISON MEMORIAL |
| Entity Type | Organization |
| Authorized Contact | RACHEL GONZALES Chief Executive Officer 208-359-6900 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Additional Taxonomies | 208000000X Pediatrics |
| 207Q00000X Family Medicine | |
| 207R00000X Internal Medicine | |
| Enumeration Date | 2019-09-30 |
| Last Update Date | 2023-10-23 |