NPI | 1649962671 |
---|---|
Doing Business As | NORTH CANYON SURGERY CENTER |
Entity Type | Organization |
Authorized Contact | J'DEE M ADAMS CEO 208-934-4433 |
Organization Subpart ? | Yes |
Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery |
Enumeration Date | 2023-05-26 |
Last Update Date | 2023-05-26 |