| NPI | 1710089636 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD R BLACK Medical Director 208-773-6400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207U00000X Nuclear Medicine |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2009-01-14 |