| NPI | 1922237874 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY G HOPKIN Owner/ Physican 208-356-8883 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: ID m-6910) |
| Enumeration Date | 2009-07-13 |
| Last Update Date | 2018-04-19 |