| NPI | 1659414399 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD BRADLEY CHRISTENSEN Owner 208-429-0300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2020-08-22 |