| NPI | 1992834089 |
|---|---|
| Doing Business As | EASTERN IDAHO NEUROLOGICAL SURGERY |
| Entity Type | Organization |
| Authorized Contact | STEPHEN R MARANO Md 208-522-6930 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: ID M5076) |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2008-11-18 |