| NPI | 1922442805 |
|---|---|
| Doing Business As | IDAHO FOOT SURGERY CENTER |
| Entity Type | Organization |
| Authorized Contact | KYLIN KOVAC Owner 208-529-8393 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2013-04-23 |
| Last Update Date | 2013-05-16 |