| NPI | 1467260315 |
|---|---|
| Doing Business As | CAPITAL CITY CHILDREN'S 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 | 2024-12-24 |
| Last Update Date | 2024-12-24 |