| NPI | 1386614519 |
|---|---|
| Other Name | IDAHO SURGERY CENTER |
| Entity Type | Organization |
| Authorized Contact | KATHY HOGUE Business Office Manager 208-453-8668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2006-01-23 |
| Last Update Date | 2011-08-31 |