| NPI | 1710166004 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | L. WILLIAM D NOWIERSKI Owner/Physician 208-343-5910 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: ID M4341) |
| Enumeration Date | 2007-11-02 |
| Last Update Date | 2007-11-02 |