NPI | 1346643038 |
---|---|
Doing Business As | MADISON CLINIC PHYSICIANS |
Entity Type | Organization |
Authorized Contact | RACHEL GONZALES Chief Executive Officer 208-359-6900 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: ID 40) |
Enumeration Date | 2014-10-08 |
Last Update Date | 2023-10-23 |