| NPI | 1184020075 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT THURMAN Physician 208-552-1759 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: ID M7428) |
| Enumeration Date | 2014-11-05 |
| Last Update Date | 2014-11-05 |