NPI | 1104472349 |
---|---|
Entity Type | Organization |
Authorized Contact | SONYA THOMAS BLIZZARD Physician 208-274-3937 |
Organization Subpart ? | No |
Primary Taxonomy | 207WX0110X Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist |
Enumeration Date | 2019-08-14 |
Last Update Date | 2020-02-10 |