| NPI | 1477295632 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KYLE JAMES Co Owner 208-678-6996 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2022-04-08 |
| Last Update Date | 2023-03-30 |