NPI | 1699375659 |
---|---|
Doing Business As | GEM FAMILY MEDICINE |
Entity Type | Organization |
Authorized Contact | JONATHAN BRET BARRUS Physician/Owner 208-369-4340 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2020-10-29 |
Last Update Date | 2024-01-25 |