Surgical Group, P.a.

NPI #1609839398 in Caldwell, Idaho

Provider Information

NPI Number: 1609839398
Entity Type: Organization
Organization Name: Surgical Group, P.a.
Primary Specialty: Surgery
Enumeration Date: Apr 11, 2006
Last Updated: Apr 13, 2010

Practice Location

Address: 404 E ELM ST
City: Caldwell
State: Idaho
ZIP Code: 83605-4846
Phone: (208) 459-0028

Authorized Official

Name: JON AGEE, M.D.
Title: PRESIDENT
Phone: (208) 459-0028

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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