| NPI | 1083743447 |
|---|---|
| Doing Business As | JEFFREY LIEGNER, MD |
| Entity Type | Organization |
| Authorized Contact | JEFFREY TODD LIEGNER Medical Director 208-639-2542 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2007-03-03 |
| Last Update Date | 2021-02-11 |