| NPI | 1740899475 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | XAVIER A ORTIZ RAMIREZ CEO 208-965-2262 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NX0100X Chiropractor Occupational Health |
| Additional Taxonomies | 261QC1800X Clinic/Center Corporate Health |
| 261QH0100X Clinic/Center Health Service | |
| 261QX0100X Clinic/Center Occupational Medicine | |
| Enumeration Date | 2020-07-29 |
| Last Update Date | 2020-10-29 |