NPI | 1356380117 |
---|---|
Entity Type | Organization |
Authorized Contact | CARL A BARBEE Physician 208-788-3434 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 363L00000X Nurse Practitioner |
363AM0700X Physician Assistant, Medical | |
Enumeration Date | 2006-06-06 |
Last Update Date | 2008-06-18 |