| NPI | 1316487671 |
|---|---|
| Doing Business As | MEDICARE & FAMILY PRACTICE |
| Entity Type | Organization |
| Authorized Contact | BRANDY FLEGEL Office Administrator 208-419-0593 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ID NP1660A) |
| Enumeration Date | 2017-03-06 |
| Last Update Date | 2017-03-06 |