| NPI | 1477551794 |
|---|---|
| Doing Business As | CAMA PRAIRIE FAMILY PHYSICIANS |
| Entity Type | Organization |
| Authorized Contact | JIM GARDNER President 208-983-3000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: ID M6670) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: ID M6671) |
| 207Q00000X Family Medicine (Licence: ID NP416A) | |
| Enumeration Date | 2005-07-11 |
| Last Update Date | 2020-08-22 |