Organization Name: | ASSOCIATES IN FAMILY PRACTICE |
NPI Number: | 1831526854 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | FLORIAN JOHN GIES (PRESIDENT) |
Mailing Address: | 425 Idaho St Gooding |
State: | ID US |
Postal Code: | 833301258 |
Phone Number: | 2089345900 |
Fax Number: | |
NPI Enumeration Date: | 10/04/2013 |
NPI Last Update Date: | 10/04/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |