| NPI | 1518165984 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD B. CHRISTENSEN Owner 208-429-0300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| Enumeration Date | 2007-07-06 |
| Last Update Date | 2020-08-22 |