| NPI | 1871618892 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DUSTAN HUGHES Owner 208-442-8038 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: ID M8105) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: ID M8055) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2013-04-22 |