| NPI | 1992731319 |
|---|---|
| Former Legal Business Name | CAPITAL CITY FAMILY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | LIZ A FRISBEY Office Manager 208-947-7700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2006-06-25 |
| Last Update Date | 2008-06-17 |