| NPI | 1275963589 |
|---|---|
| Doing Business As | LARAMIE WHEELER, DO |
| Entity Type | Organization |
| Authorized Contact | LARAMIE L. WHEELER Owner 208-557-0200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: ID O-0426) |
| Enumeration Date | 2013-11-22 |
| Last Update Date | 2018-08-22 |