| NPI | 1720523855 |
|---|---|
| Doing Business As | PRECISION PEACH SURGICAL ASSISTANT |
| Entity Type | Organization |
| Authorized Contact | MONICA MERCEDES THULON Certified Surgical First Assistant 208-762-2097 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Enumeration Date | 2016-12-28 |
| Last Update Date | 2024-03-23 |