| NPI | 1619133501 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY J. KAUFFMAN General Surgeon 208-678-0900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: ID M-9588) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: ID NP-267A) |
| Enumeration Date | 2008-07-31 |
| Last Update Date | 2009-02-19 |