| NPI | 1477747632 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS HILL Chief Medical Officer 208-367-7553 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease |
| Enumeration Date | 2007-08-30 |
| Last Update Date | 2007-08-30 |