| NPI | 1952670523 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW J CARTER President/Owner 208-524-3278 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: ID O-0543) |
| Enumeration Date | 2011-12-27 |
| Last Update Date | 2012-01-11 |