Organization
PACIFIC NORTHWEST SURGICAL ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH REED LIVINGSTON MD (ADMINISTRATOR)
(208) 367-7160
Entity
Organization
Contact information
Practice address
901 N CURTIS RD, SUITE 403, BOISE, ID 83706-1342
(208) 367-7160
(208) 367-7164
Mailing address
901 N CURTIS RD, SUITE 403, BOISE, ID 83706-1342
(208) 367-7160
(208) 367-7164
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
M7088
ID
208600000X
Surgery Physician
M7089
ID
Other
Enumeration date
09/13/2006
Last updated
02/21/2008
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