| NPI | 1033608161 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER M ALESSI Owner 208-378-9977 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: ID M-10811) |
| Enumeration Date | 2018-05-03 |
| Last Update Date | 2021-02-22 |