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 | 207T00000X Neurological Surgery |
207VM0101X Obstetrics & Gynecology Maternal & Fetal Medicine | |
207XP3100X Orthopaedic Surgery Pediatric Orthopaedic Surgery | |
2084N0400X Psychiatry & Neurology Neurology | |
208VP0000X Pain Medicine Pain Medicine | |
363L00000X Nurse Practitioner | |
364S00000X Clinical Nurse Specialist | |
Enumeration Date | 2006-07-14 |
Last Update Date | 2008-08-20 |