163WN0800X
Boise, ID
Specialty
163WN0800X
NPI
1437758489
301 W. Myrtle St., Boise, ID 83702
(208) 342-8200Confirm current license and practice information on the official CMS NPI registry.
View NPI RecordThis surgeon specializes in 163wn0800x procedures performed in an outpatient ambulatory surgical setting.
NUCC Taxonomy: 163WN0800X