NPI | 1528152758 |
---|---|
Doing Business As | CLAINE D JUDY D.O. |
Entity Type | Organization |
Authorized Contact | CLAINE DOYLE JUDY President 208-232-7434 |
Organization Subpart ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: ID C143842) |
Enumeration Date | 2006-10-03 |
Last Update Date | 2007-08-22 |