| NPI | 1841596186 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WESLEY SCOTT APPLETON Owner 208-733-6882 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: ID M-8162) |
| Enumeration Date | 2011-02-03 |
| Last Update Date | 2011-02-03 |