NPI | 1326245010 |
---|---|
Doing Business As | CEDAR CREEK FAMILY MEDICINE |
Entity Type | Organization |
Authorized Contact | JACOB ERICKSON CEO 208-785-3801 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2007-06-27 |
Last Update Date | 2019-12-18 |