NPI | 1407056237 |
---|---|
Doing Business As | CANFIELD FAMILY MEDICINE |
Entity Type | Organization |
Authorized Contact | JANICE ADELE LINDSTROM Owner 208-765-4808 |
Organization Subpart ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: ID M8963) |
Enumeration Date | 2007-07-19 |
Last Update Date | 2007-07-19 |