NPI | 1255456323 |
---|---|
Doing Business As | RETINA CONSULTANTS OF IDAHO |
Entity Type | Organization |
Authorized Contact | SCOTT C SIMPSON Manager 208-855-5950 |
Organization Subpart ? | No |
Primary Taxonomy | 207W00000X Ophthalmology |
Enumeration Date | 2007-03-20 |
Last Update Date | 2020-08-22 |