| NPI | 1639117153 |
|---|---|
| Former Legal Business Name | MCCONNEHEY FAMILY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | CHERYL D LUNDY Billing Manger 208-452-6794 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2007-09-12 |