Organization
ADA SURGICAL ASSOCIATES, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN FARLEY (OFFICE MANAGER)
(208) 378-4749
Entity
Organization
Contact information
Practice address
901 N CURTIS RD, STE 104, BOISE, ID 83706-1338
(208) 378-4749
Mailing address
901 N CURTIS RD, STE 104, BOISE, ID 83706-1338
(208) 378-4749
(208) 378-7519
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
M5303
ID
Other
Enumeration date
05/17/2006
Last updated
08/22/2020
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