NPI 1205931615

Pacific Northwest Surgical Associates PC

Organisation Surgery Physician Boise, ID

Practice location

Address: 901 N Curtis Rd Suite 403, Boise, ID 83706-1342
Phone: (208) 367-7160
Fax: (208) 367-7164

Authorised official

Name: Elizabeth Reed Livingston
Title: Administrator
Phone: (208) 367-7160

Registered specialties (2)

Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence M7088 (ID)

Other Surgery providers in Idaho →

Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence M7089 (ID)

Registry record

NPI: 1205931615
Entity type: Organization
NPI issued: 13 Sep 2006
Record last updated: 21 Feb 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.