| NPI | 1235696212 |
|---|---|
| Doing Business As | COUGHLIN CLINIC BOISE |
| Entity Type | Organization |
| Authorized Contact | BRIAN LANNIE CHECKETTS CFO 208-367-7347 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2019-02-26 |
| Last Update Date | 2023-01-24 |