| NPI | 1346444007 |
|---|---|
| Former Legal Business Name | PRAIRIE FAMILY MEDICINE PLLC |
| Entity Type | Organization |
| Authorized Contact | BRIAN DONALD SNYDERS Physician Owner 208-292-4006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Additional Taxonomies | 2081P0004X Physical Medicine & Rehabilitation Spinal Cord Injury Medicine |
| 2081P0301X Physical Medicine & Rehabilitation Brain Injury Medicine | |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2023-03-08 |