| NPI | 1770729063 |
|---|---|
| Doing Business As | PRIMARY HEALTH MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | LINDA BARNES Credentialing Mgr 208-985-1423 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Enumeration Date | 2008-12-17 |
| Last Update Date | 2025-02-17 |