| NPI | 1861547390 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD J HAMMOND Owner 208-737-2530 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
| 2084S0012X Psychiatry & Neurology Sleep Medicine | |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2007-07-16 |