| NPI | 1699057166 |
|---|---|
| Doing Business As | BEAR LAKE FAMILY CARE AND OB/GYN |
| Entity Type | Organization |
| Authorized Contact | PATSY BOEHME Office Manager 208-847-4410 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR1300X Clinic/Center Rural Health |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207V00000X Obstetrics & Gynecology | |
| Enumeration Date | 2011-09-12 |
| Last Update Date | 2016-08-22 |