NPI | 1134140148 |
---|---|
Other Name | BAKER FAMILY PRACTICE |
Entity Type | Organization |
Authorized Contact | WALLACE C. BAKER Doctor 208-524-6633 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: ID m6919) |
Enumeration Date | 2006-07-22 |
Last Update Date | 2010-07-19 |