| NPI | 1700644812 |
|---|---|
| Doing Business As | PRIMARY HEALTH MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | LINDA BARNES Credentialing Manager 208-985-1423 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology |
| Enumeration Date | 2024-03-12 |
| Last Update Date | 2024-03-12 |