| NPI | 1548597255 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRAIG D SCOVILLE Owner 208-542-9080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: ID M5232) |
| Enumeration Date | 2009-11-17 |
| Last Update Date | 2009-11-24 |