NPI | 1982694345 |
---|---|
Doing Business As | TREASURE VALLEY INTERNAL MEDICINE |
Entity Type | Organization |
Authorized Contact | HEATHER LYNN RIVERA Practice Manager 541-881-7358 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
Enumeration Date | 2005-10-26 |
Last Update Date | 2007-12-21 |