NPI | 1639152739 |
---|---|
Doing Business As | HAYDEN LAKE FAMILY PHYSICIANS |
Entity Type | Organization |
Authorized Contact | MARK P BORSHEIM Owner Physician 208-772-0785 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2005-11-22 |
Last Update Date | 2008-08-07 |