| NPI | 1962203869 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID W NATTRESS President 208-761-7170 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207PH0002X Emergency Medicine, Hospice and Palliative Medicine |
| Enumeration Date | 2025-03-24 |
| Last Update Date | 2025-08-22 |