NPI | 1265558019 |
---|---|
Doing Business As | DHW ISSH GROUP PHYSICIANS |
Entity Type | Organization |
Authorized Contact | SUE BROETJE Administrative Director 208-442-2812 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2007-03-22 |
Last Update Date | 2020-08-22 |