| NPI | 1942730775 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN L TORQUATO President 208-772-7850 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2017-06-14 |
| Last Update Date | 2018-03-17 |