| NPI | 1386632180 |
|---|---|
| Doing Business As | ST MARIES FAMILY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | LORI MINIER CFO 208-245-5551 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2005-10-06 |
| Last Update Date | 2023-11-15 |