NPI | 1962666578 |
---|---|
Doing Business As | MOUNTAIN VIEW FAMILY MEDICINE INC. |
Entity Type | Organization |
Authorized Contact | TIMOTHY RAY BONINE Owner 208-263-9545 |
Organization Subpart ? | No |
Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: ID M8424) |
Enumeration Date | 2008-07-13 |
Last Update Date | 2013-10-30 |