| NPI | 1801147129 |
|---|---|
| Doing Business As | KOOTENAI OCCUPATIONAL MEDICINE |
| Entity Type | Organization |
| Authorized Contact | ERIC KOELSCH Administrator 208-620-3823 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2012-09-26 |
| Last Update Date | 2012-09-26 |