| NPI | 1144504663 |
|---|---|
| Doing Business As | PHYSICIANS IMMEDIATE CARE CENTER |
| Entity Type | Organization |
| Authorized Contact | RANDY VAWDREY COO 208-232-0021 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site |
| Enumeration Date | 2011-10-03 |
| Last Update Date | 2011-10-03 |