| NPI | 1639867468 |
|---|---|
| Doing Business As | PATHWAYS FUNCTIONAL MEDICINE |
| Entity Type | Organization |
| Authorized Contact | ELIZABETH JO JOHNSON Owner 208-734-1394 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2023-04-28 |
| Last Update Date | 2023-04-28 |