| NPI | 1285827253 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IONA DYE Billing Manager 208-381-4171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology |
| Enumeration Date | 2007-08-23 |
| Last Update Date | 2008-03-03 |