| NPI | 1871112094 |
|---|---|
| Doing Business As | DIRECT DOCTOR CARE |
| Entity Type | Organization |
| Authorized Contact | ROGER WYATT Owner 208-965-4899 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2020-04-09 |
| Last Update Date | 2020-04-09 |