| NPI | 1427523968 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUSSELL H GRIFFITHS President 208-433-1736 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery |
| Enumeration Date | 2018-10-11 |
| Last Update Date | 2018-10-17 |