| NPI | 1952845075 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN LEWIS Manager 208-955-8215 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: ID 00022842) |
| Enumeration Date | 2016-12-08 |
| Last Update Date | 2016-12-15 |