| NPI | 1396953824 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY PARRY Physician 208-622-3180 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2010-05-11 |