| NPI | 1093189581 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES MORGAN COOMBS President 208-734-8934 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: ID M9542) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: ID M4223) |
| 207W00000X Ophthalmology (Licence: ID M12126) | |
| Enumeration Date | 2015-11-20 |
| Last Update Date | 2015-11-20 |