NPI | 1881190650 |
---|---|
Doing Business As | CLIFFORD FAMILY MEDICINE |
Entity Type | Organization |
Authorized Contact | JACOB ERICKSON CEO 208-785-3801 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2018-04-02 |
Last Update Date | 2024-07-16 |