NPI | 1073802492 |
---|---|
Doing Business As | SYRINGA PRIMARY CARE CLINIC |
Entity Type | Organization |
Authorized Contact | BETTY WATSON CFO 208-983-1700 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: ID 18) |
Enumeration Date | 2011-04-06 |
Last Update Date | 2014-03-03 |