| NPI | 1134210966 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN RICHARD ECKLUND Physician 208-433-0232 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: ID M-8360) |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2007-08-09 |