NPI | 1770785875 |
---|---|
Doing Business As | IDAHO PHYSICIANS CLINIC |
Entity Type | Organization |
Authorized Contact | LOUIS KRAML CEO 208-785-3801 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QR1300X Clinic/Center Rural Health (Licence: ID 36) |
Enumeration Date | 2007-06-01 |
Last Update Date | 2019-12-16 |