NPI | 1912189481 |
---|---|
Former Legal Business Name | DOCTORS FOR IDAHO FIRE SERVICES, LLC |
Entity Type | Organization |
Authorized Contact | ROBERT JOSEPH HILVERS Owner 208-866-0880 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: ID M-7543) |
Enumeration Date | 2007-11-27 |
Last Update Date | 2024-11-08 |