| NPI | 1568697894 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHAD A MORSE President 208-343-1702 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: ID M97083) |
| Enumeration Date | 2009-05-15 |
| Last Update Date | 2009-05-15 |