NPI | 1306348602 |
---|---|
Doing Business As | PRIMARY HEALTH MEDICAL GROUP |
Entity Type | Organization |
Authorized Contact | TRISHA NAUMAN Credentialing 208-955-6522 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2018-03-02 |
Last Update Date | 2018-03-02 |