| NPI | 1780820076 |
|---|---|
| Doing Business As | PRIMARY HEALTH MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | DAVID PETERMAN President 208-955-6506 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2008-12-17 |
| Last Update Date | 2019-02-13 |