NPI | 1831134584 |
---|---|
Doing Business As | NORTH FORK SURGERY CENTER |
Entity Type | Organization |
Authorized Contact | DWAYNE M HANSEN Board Chairman 208-359-2300 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: ID 13-C0001061) |
Enumeration Date | 2006-06-17 |
Last Update Date | 2020-08-22 |