| NPI | 1477866606 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN B FRITZ President 208-938-3443 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207KA0200X Allergy & Immunology, Allergy (Licence: ID M103) |
| Enumeration Date | 2010-07-16 |
| Last Update Date | 2016-06-17 |