| NPI | 1407130727 |
|---|---|
| Doing Business As | GRACE SURGERY CENTER |
| Entity Type | Organization |
| Authorized Contact | DEVIN LARSEN CEO 208-340-1840 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2011-10-05 |
| Last Update Date | 2024-05-30 |