| NPI | 1154801595 |
|---|---|
| Former Legal Business Name | MVH GASTROENTEROLOGY LLC |
| Entity Type | Organization |
| Authorized Contact | NED HILLYARD Chief Compliance Officer 208-709-4571 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology |
| Enumeration Date | 2018-08-15 |
| Last Update Date | 2018-08-30 |