| NPI | 1154390938 |
|---|---|
| Former Legal Business Name | DIGESTIVE HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | MELISSA DAWN LEMONS Billing Supervisor 208-528-4255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Enumeration Date | 2006-03-15 |
| Last Update Date | 2010-06-07 |