NPI | 1336400043 |
---|---|
Other Name | WOMEN'S MEDICAL CLINIC |
Entity Type | Organization |
Authorized Contact | RANDALL L RUDEEN Doctor/Owner 208-467-2400 |
Organization Subpart ? | No |
Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: ID M5040) |
Enumeration Date | 2012-05-30 |
Last Update Date | 2012-05-30 |