| NPI | 1568413920 |
|---|---|
| Doing Business As | PRIMARY HEALTH MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | DAVID L PETERMAN President 208-955-6500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2011-01-07 |