| NPI | 1952493249 |
|---|---|
| Doing Business As | WOMEN'S MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | GERALD CARLSON Supervising Dr 208-467-2400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2020-08-22 |