| NPI | 1427096148 |
|---|---|
| Doing Business As | SOUTHERN IDAHO OPHTHALMOLOGY |
| Entity Type | Organization |
| Authorized Contact | JAMES COOMBS CEO 208-734-8934 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: ID M9542) |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2015-11-16 |