| NPI | 1831179696 |
|---|---|
| Doing Business As | TRINITY MOUNTAIN FAMILY PRACTICE |
| Entity Type | Organization |
| Authorized Contact | GREG MAUER CEO 208-580-2677 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2006-01-18 |
| Last Update Date | 2020-08-22 |