PEDIATRIC NEUROSURGRY OF IDAHO PC

BOISE, ID
NPI1750337978
Entity TypeOrganization
Authorized ContactWALTER BRUCE CHERNY
Owner
208-381-7360
Organization Subpart ?No
Primary Taxonomy207T00000X Neurological Surgery
(Licence: ID  M8385)
Enumeration Date2006-05-26
Last Update Date2008-05-26
Business Address
PEDIATRIC NEUROSURGRY OF IDAHO PC
100 E IDAHO ST
BOISE, ID 83712-6270
Phone number: 208-381-7360
Mailing Address
PEDIATRIC NEUROSURGRY OF IDAHO PC
6140 CURTISIAN AVE SUITE 400
BOISE, ID 83704-8880
Phone number: 208-367-3500
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