| NPI | 1962691204 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS E. SMITH President/Owner/Neurosurgeon 208-344-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: ID M-3522) |
| Enumeration Date | 2007-10-23 |
| Last Update Date | 2007-10-23 |