| NPI | 1912189481 |
|---|---|
| Former Legal Business Name | DOCTORS FOR IDAHO FIRE SERVICES, LLC |
| Entity Type | Organization |
| Authorized Contact | ROBERT JOSEPH HILVERS Owner 208-381-0697 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: ID M-7543) |
| Enumeration Date | 2007-11-27 |
| Last Update Date | 2014-08-25 |