| NPI | 1679986400 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER W HAMMERLE Provider 208-343-1702 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: ID M11652) |
| Enumeration Date | 2014-06-10 |
| Last Update Date | 2019-08-22 |