Idaho Otologic Surgery Center, LLC

NPI #1972179208 in Meridian, Idaho

Provider Information

NPI Number
1972179208
Entity Type
Organization
Organization Name
Idaho Otologic Surgery Center, LLC
Primary Specialty
Clinic/Center - Ambulatory Surgical
Enumeration Date
May 27, 2021
Last Updated
Oct 6, 2022

Practice Location

Address
1209 N SUMMERBROOK AVE STE 110
State
Idaho
ZIP Code
83642-8760
Phone
(208) 938-5823

Authorized Official

Name
JAMES CRAWFORD, MD
Title
OWNER
Phone
(253) 278-4304

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Ambulatory SurgicalAmbulatory Surgical

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