Jefferson Day Surgery Center

NPI #1245246875 in Boise, Idaho

Provider Information

NPI Number
1245246875
Entity Type
Organization
Organization Name
Jefferson Day Surgery Center
Primary Specialty
Clinic/Center - Ambulatory Surgical
Enumeration Date
Aug 1, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
220 W JEFFERSON ST
City
Boise
State
Idaho
ZIP Code
83702-6044
Phone
(208) 343-8907

Authorized Official

Name
DR. WILLIAM STANO, DPM
Title
ADMINISTRATOR
Phone
(208) 343-8907

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Ambulatory SurgicalAmbulatory Surgical

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