| NPI | 1407941453 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY D KEYS Owner President 208-336-4825 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: ID M3871) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2020-08-22 |