| NPI | 1881610079 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS M. HILL Chief Medical Officer 208-367-6277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Additional Taxonomies | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine |
| 2084N0400X Psychiatry & Neurology, Neurology | |
| 208VP0000X | |
| 364S00000X Clinical Nurse Specialist | |
| 207T00000X Neurological Surgery | |
| 363L00000X Nurse Practitioner | |
| 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery | |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2008-08-20 |