| NPI | 1932693025 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEREMY PATRICK TOOMEY Owner 208-885-2410 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: ID M-12493) |
| Enumeration Date | 2018-06-21 |
| Last Update Date | 2018-06-21 |