| NPI | 1891310561 |
|---|---|
| Doing Business As | NAMPA DIGESTIVE HEALTH CLINIC |
| Entity Type | Organization |
| Authorized Contact | MARK A MALLORY Manager 208-489-1900 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Enumeration Date | 2020-06-09 |
| Last Update Date | 2020-06-19 |