| NPI | 1316460264 |
|---|---|
| Doing Business As | MADISON MEMORIAL OUTPATIENT SERVICES |
| Entity Type | Organization |
| Authorized Contact | TROY CHRISTENSEN Chief Financial Officer 208-359-9802 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 293D00000X Physiological Laboratory |
| Enumeration Date | 2017-07-24 |
| Last Update Date | 2023-03-09 |