| NPI | 1144673021 |
|---|---|
| Doing Business As | SAMG OCC MED ROSTER BILLING |
| Entity Type | Organization |
| Authorized Contact | BRIAN LANNIE CHECKETTS CFO 208-367-7347 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: ID M-5535) |
| Additional Taxonomies | 2083X0100X Preventive Medicine, Occupational Medicine |
| Enumeration Date | 2016-07-15 |
| Last Update Date | 2023-01-24 |