NPI | 1144267022 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT WARD Physician 208-814-8300 |
Organization Subpart ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: ID M6665) |
Enumeration Date | 2006-06-01 |
Last Update Date | 2013-03-09 |