| NPI | 1184865883 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RALPH M SUTHERLIN Owner/Physician 208-495-3688 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: ID 0-264) |
| Enumeration Date | 2009-03-10 |
| Last Update Date | 2009-03-10 |