| NPI | 1285621532 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL T HARRIS Owner/Practitioner 208-552-1222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: ID M 6846) |
| Enumeration Date | 2005-10-03 |
| Last Update Date | 2008-11-22 |