NPI | 1548200181 |
---|---|
Doing Business As | NORTHWEST INTEGRATIVE FAMILY MED |
Entity Type | Organization |
Authorized Contact | MICHAEL L. OGLESBAY Owner/Physician 208-773-1311 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: ID M8602) |
Enumeration Date | 2006-06-08 |
Last Update Date | 2019-05-02 |