| NPI | 1467678680 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN D KRAMER Owner, Surgeon 208-344-4900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: ID M-8315) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2020-08-22 |