| NPI | 1740525872 |
|---|---|
| Doing Business As | IMMEDIATE CLINIC |
| Entity Type | Organization |
| Authorized Contact | CHERYL MICKELSEN Credentialing Specialist 208-292-0990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207P00000X Emergency Medicine |
| 261QU0200X Clinic/Center Urgent Care | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2012-11-29 |
| Last Update Date | 2014-08-07 |