| NPI | 1306984943 |
|---|---|
| Doing Business As | BOISE OSTEOPATHIC MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | AMY E HUMMEL Office Manager 208-376-2522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: ID O-50) |
| Enumeration Date | 2007-02-04 |
| Last Update Date | 2015-04-09 |