| NPI | 1417405606 |
|---|---|
| Doing Business As | CACHE CLINIC |
| Entity Type | Organization |
| Authorized Contact | LAURA C PIQUET Director Of Compliance 208-354-6302 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: ID 31) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: ID 31) |
| 363LF0000X Nurse Practitioner, Family (Licence: ID 31) | |
| Enumeration Date | 2016-09-15 |
| Last Update Date | 2016-09-15 |