| NPI | 1477619005 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARTHUR C JONES President 208-367-7431 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: ID 13C0001021) |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2020-08-22 |