| NPI | 1528251519 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DREW B SIMMONS Nurse Practitioner/Owner 208-733-5117 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: ID NP444A) |
| Enumeration Date | 2007-08-22 |
| Last Update Date | 2007-10-15 |