| NPI | 1659863207 |
|---|---|
| Doing Business As | IDAHO FALLS SURGICAL SPECIALISTS |
| Entity Type | Organization |
| Authorized Contact | BRODI SMITH Do 515-423-6125 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: ID O1114) |
| Enumeration Date | 2018-05-30 |
| Last Update Date | 2024-08-01 |