| NPI | 1093056475 |
|---|---|
| Doing Business As | WILLOW VALLEY |
| Entity Type | Organization |
| Authorized Contact | NICHOLE NOYES Clinic Manager 208-852-2900 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology |
| Enumeration Date | 2013-03-08 |
| Last Update Date | 2013-03-08 |