| NPI | 1336327923 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY L. FLINT President/Physician 208-367-2864 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: ID M3500) |
| Enumeration Date | 2008-02-05 |
| Last Update Date | 2008-05-29 |