| NPI | 1730192329 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN JOSEPH FONKEN President 208-377-1415 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2008-07-10 |