| NPI | 1497975320 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL W. JOHNS Site Occupational Medicine Director 208-526-0404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QX0100X Clinic/Center Occupational Medicine |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2008-06-24 |