| NPI | 1881894517 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZZETTE THATCHER Business Manager 208-359-1888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: ID M-9786) |
| Enumeration Date | 2007-07-20 |
| Last Update Date | 2007-07-20 |