NPI | 1780808022 |
---|---|
Doing Business As | WEST FAMILY MEDICINE |
Entity Type | Organization |
Authorized Contact | BRANDON A. WEST Owner 208-232-1000 |
Organization Subpart ? | No |
Primary Taxonomy | 207QA0000X Family Medicine, Adolescent Medicine |
Enumeration Date | 2007-04-11 |
Last Update Date | 2021-08-18 |