| NPI | 1841835113 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN G LOOSLI Executive Director 208-557-9898 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology |
| 207VC0200X Obstetrics & Gynecology, Critical Care Medicine | |
| 207VG0400X Obstetrics & Gynecology, Gynecology | |
| 207VX0000X Obstetrics & Gynecology, Obstetrics | |
| 2085U0001X Radiology, Diagnostic Ultrasound | |
| 2471S1302X Radiologic Technologist, Sonography | |
| Enumeration Date | 2019-11-11 |
| Last Update Date | 2020-06-23 |