| NPI | 1609041813 |
|---|---|
| Doing Business As | DELTA SURGICAL |
| Entity Type | Organization |
| Authorized Contact | DEVIN LARSEN CEO 208-340-1840 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Additional Taxonomies | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2008-04-29 |
| Last Update Date | 2024-05-30 |