| NPI | 1275213993 |
|---|---|
| Doing Business As | INTERMOUNTAIN HEALTH - BUCKLEY PRIMARY CARE |
| Entity Type | Organization |
| Authorized Contact | JON MCDANIEL VP Finance 303-272-0231 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2023-07-18 |
| Last Update Date | 2024-06-28 |