| NPI | 1982632550 |
|---|---|
| Doing Business As | FAMILY PRACTICE MEDICAL CENTER |
| Entity Type | Organization |
| Authorized Contact | TED EPPERLY Chairman And Program Director 208-367-6042 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2008-01-30 |