| NPI | 1326336058 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHRYN FOWLER Senior VP, CFO 208-381-8717 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: ID 03) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: ID 03) |
| 207R00000X Internal Medicine (Licence: ID 03) | |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: ID 03) | |
| 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism (Licence: ID 03) | |
| 207RH0003X Internal Medicine Hematology & Oncology (Licence: ID 03) | |
| 207V00000X Obstetrics & Gynecology (Licence: ID 03) | |
| 207W00000X Ophthalmology (Licence: ID 03) | |
| 208000000X Pediatrics (Licence: ID 03) | |
| 2080N0001X Pediatrics Neonatal-Perinatal Medicine (Licence: ID 03) | |
| 2080P0006X Pediatrics Developmental - Behavioral Pediatrics (Licence: ID 03) | |
| 2084N0400X Psychiatry & Neurology Neurology (Licence: ID 03) | |
| 208600000X Surgery (Licence: ID 03) | |
| 208800000X Urology (Licence: ID 03) | |
| 208M00000X Hospitalist (Licence: ID 03) | |
| Enumeration Date | 2011-07-15 |
| Last Update Date | 2024-02-29 |