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 |