| NPI | 1477014207 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID J BROWN Physician 208-378-4264 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 207VB0002X Obstetrics & Gynecology, Bariatric Medicine |
| 2083B0002X Preventive Medicine, Obesity Medicine | |
| Enumeration Date | 2019-03-26 |
| Last Update Date | 2024-08-30 |