| NPI | 1710174800 |
|---|---|
| Doing Business As | MERIDIAN FAMILY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | DAVID J BUTUK Owner 208-888-1199 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2007-10-02 |
| Last Update Date | 2007-10-02 |