| NPI | 1952744641 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | R BRET CAMPBELL Doctor Of Osteopathy 208-878-9432 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2013-04-11 |
| Last Update Date | 2016-03-29 |