| NPI | 1073747929 |
|---|---|
| Doing Business As | IMED HRS IDAHO |
| Entity Type | Organization |
| Authorized Contact | KELLY J HOWARD Director 801-442-1425 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Enumeration Date | 2009-05-06 |
| Last Update Date | 2009-05-06 |