| NPI | 1275723058 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOLLY ZOE Member 208-523-7246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine |
| Additional Taxonomies | 207L00000X Anesthesiology |
| Enumeration Date | 2007-07-27 |
| Last Update Date | 2010-11-01 |