| NPI | 1275790081 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL ANTHONY TRIOLO Business Manager 208-461-4882 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QX0100X Clinic/Center, Occupational Medicine (Licence: ID OT808) |
| Enumeration Date | 2008-05-20 |
| Last Update Date | 2008-05-20 |