| NPI | 1285825075 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL K JAMES Owner 208-528-2858 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: ID P140-7) |
| Enumeration Date | 2007-08-06 |
| Last Update Date | 2007-08-06 |