| NPI | 1073885349 |
|---|---|
| Doing Business As | ST. JOSEPH MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | TOM SAFLEY Chief Financial Officer 208-799-5696 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 2084N0400X Psychiatry & Neurology Neurology | |
| Enumeration Date | 2012-02-02 |
| Last Update Date | 2013-02-27 |