| NPI | 1457520900 |
|---|---|
| Former Legal Business Name | DIGESTIVE HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | MELISSA DAWN LEMONS Billing Manager 208-528-4255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Enumeration Date | 2008-02-28 |
| Last Update Date | 2008-02-29 |