| NPI | 1609054170 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MILESH HUBBARD HUMPHREY Owner 208-734-4670 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: ID M3006) |
| Enumeration Date | 2008-02-06 |
| Last Update Date | 2008-02-26 |