| NPI | 1124357645 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT LANTZ DAVIDSON Physician Owner 208-890-9539 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: ID M7907) |
| Enumeration Date | 2009-12-11 |
| Last Update Date | 2009-12-11 |