| NPI | 1518285824 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA A DURKIN Credentialing Manager 208-664-4026 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: WA MD00037930) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: WA MD00046241) |
| Enumeration Date | 2010-05-11 |
| Last Update Date | 2010-05-11 |