| NPI | 1538285481 |
|---|---|
| Doing Business As | DHW ISSH GROUP PHYSICIANS |
| Entity Type | Organization |
| Authorized Contact | SUE BROETJE Administrative Director 208-442-2812 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2020-08-22 |