| NPI | 1396047866 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARA MICHELE WORTLEY Physician Assistant 208-301-3169 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2865M2000X Military Hospital, Military General Acute Care Hospital |
| Enumeration Date | 2010-12-03 |
| Last Update Date | 2010-12-03 |