NPI | 1588993729 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES B FISHER Physician/Owner/President 208-746-9644 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: ID M3622) |
Enumeration Date | 2009-12-17 |
Last Update Date | 2009-12-17 |