NPI | 1447702683 |
---|---|
Doing Business As | STAR MEDICAL CENTER |
Entity Type | Organization |
Authorized Contact | BEVERLEE K. FURNER Owner 208-850-1338 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ID 881-A) |
Enumeration Date | 2016-11-03 |
Last Update Date | 2017-01-23 |