| NPI | 1174790257 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DELMER F PLETCHER Owner 208-622-3311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: ID M3574) |
| Enumeration Date | 2008-05-08 |
| Last Update Date | 2009-03-11 |