| NPI | 1164774923 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN M MALOFF Owner 208-239-0380 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: ID M 3508) |
| Enumeration Date | 2012-10-03 |
| Last Update Date | 2012-10-03 |