| NPI | 1639322258 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER W CASTELLANOS Neurologist 208-529-4300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2021-08-17 |