| NPI | 1477501930 |
|---|---|
| Doing Business As | POCATELLO WOMEN'S HEALTH CLINIC |
| Entity Type | Organization |
| Authorized Contact | DONALD A DYER President 208-232-3252 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2011-10-31 |