NPI | 1518997345 |
---|---|
Doing Business As | FAMILY MEDICAL CENTER |
Entity Type | Organization |
Authorized Contact | BRYAN L DRAKE Owner 208-414-1124 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center (Licence: ID 0-67) |
Enumeration Date | 2006-07-04 |
Last Update Date | 2020-08-22 |