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Organization
IDAHO OTOLOGIC SURGERY CENTER, LLC
Active
Organization
IDAHO OTOLOGIC SURGERY CENTER, LLC
Active
Other names
Syringa Outpatient Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES CRAWFORD MD (OWNER)
(253) 278-4304
Entity
Organization
Contact information
Practice address
1209 N SUMMERBROOK AVE STE 110, MERIDIAN, ID 83642-8760
(208) 938-5823
(208) 963-3270
Mailing address
13900 W WAINWRIGHT DR STE 102, BOISE, ID 83713-5028
(480) 455-2769
(208) 963-3270
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
05/27/2021
Last updated
10/06/2022
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