| NPI | 1093911133 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID R ANDERSON Medical Director 208-529-3937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: ID M3793) |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2011-09-15 |