| NPI | 1881190650 |
|---|---|
| Doing Business As | CLIFFORD, CLARK, AND WALKER 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 | 2020-01-21 |