NPI | 1689260341 |
---|---|
Doing Business As | TEN MILE SURGERY CENTER |
Entity Type | Organization |
Authorized Contact | SEAN MCCALLISTER Access Manager 208-391-4359 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
Enumeration Date | 2020-12-17 |
Last Update Date | 2024-06-18 |