| NPI | 1114352242 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA L HOUSE Physician / Owner 208-947-0925 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: ID 0-O370) |
| Enumeration Date | 2013-09-09 |
| Last Update Date | 2013-09-09 |