| NPI | 1215106729 |
|---|---|
| Other Name | NORTH IDAHO FAMILY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | FRAZIER HERMON KING Owner 208-255-1523 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: ID M8165) |
| Enumeration Date | 2008-02-28 |
| Last Update Date | 2012-03-08 |