| NPI | 1700803632 |
|---|---|
| Doing Business As | PHYSICIANS IMMEDIATE CARE CENTER |
| Entity Type | Organization |
| Authorized Contact | RANDY PAUL VAWDREY COO 208-478-7422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2016-06-01 |