| NPI | 1457868002 |
|---|---|
| Doing Business As | PRIMARY HEALTH MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | TRISHA NAUMAN Credentialing 208-955-6522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2018-01-04 |
| Last Update Date | 2018-01-04 |