Summit Cardiovascular Group LLC

NPI #1063123578 in Boise, Idaho

Provider Information

NPI Number
1063123578
Entity Type
Organization
Organization Name
Summit Cardiovascular Group LLC
Primary Specialty
Clinic/Center - Ambulatory Surgical
Enumeration Date
Dec 6, 2022
Last Updated
Dec 6, 2022

Practice Location

Address
8854 W EMERALD ST STE 260
City
Boise
State
Idaho
ZIP Code
83704-4860
Phone
(615) 423-1159

Authorized Official

Name
JENNY BLOEBAUM
Title
VICE PRESIDENT, OPERATIONAL INTEGRA
Phone
(615) 423-1159

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Ambulatory SurgicalAmbulatory Surgical

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