NPI | 1134296437 |
---|---|
Doing Business As | VALLEY VISTA CARE SERVICES - FAMILY PRACTICE |
Entity Type | Organization |
Authorized Contact | GAIL MILLS Corporate Compliance Manager 208-245-4576 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: ID O-130) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: ID M-5955) |
Enumeration Date | 2006-11-29 |
Last Update Date | 2020-08-22 |