| NPI | 1063432409 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTIAN G ZIMMERMAN Owner Manager 208-367-3500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: ID M6164) |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2008-08-06 |