| NPI | 1427273853 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY ANN VORSE CEO 208-726-0000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RS0012X Internal Medicine Sleep Medicine (Licence: ID M7028) |
| Additional Taxonomies | 208VP0014X Pain Medicine Interventional Pain Medicine (Licence: ID M7028) |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2008-03-11 |