| NPI | 1780298430 |
|---|---|
| Doing Business As | PRIMARY HEALTH MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | MARIE HARDWICK Credentialing Manager 208-985-1399 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2020-09-01 |
| Last Update Date | 2022-01-26 |