NPI | 1447629555 |
---|---|
Doing Business As | EMMETT FAMILY MEDICINE AND DIRECT PRIMARY CARE |
Entity Type | Organization |
Authorized Contact | RYAN EARL WHITE Clinic Administrator 208-365-7131 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: ID M7802) |
Enumeration Date | 2015-09-18 |
Last Update Date | 2016-01-12 |