| NPI | 1760719454 |
|---|---|
| Other Name | PORTNEUF MEDICAL PRACTICES |
| Entity Type | Organization |
| Authorized Contact | JOHN ABREU CFO 208-239-2110 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2009-11-17 |
| Last Update Date | 2010-03-02 |