| NPI | 1780298430 | 
|---|---|
| Doing Business As | PRIMARY HEALTH MEDICAL GROUP | 
| Entity Type | Organization | 
| Authorized Contact | LINDA BARNES Credentialing Mgr 208-985-1423  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 207Q00000X Family Medicine | 
| Enumeration Date | 2020-09-01 | 
| Last Update Date | 2025-02-17 |