| NPI | 1487393393 |
|---|---|
| Doing Business As | GENESIS RESTORATIVE MEDICINE |
| Entity Type | Organization |
| Authorized Contact | LINDSAY HUBSMITH Owner 208-358-3225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2022-05-31 |
| Last Update Date | 2024-04-16 |