Organization
JEFFERSON DAY SURGERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM STANO DPM (ADMINISTRATOR)
(208) 343-8907
Entity
Organization
Contact information
Practice address
220 W JEFFERSON ST, BOISE, ID 83702-6044
(208) 343-8907
(208) 343-9161
Mailing address
220 W JEFFERSON ST, BOISE, ID 83702-6044
(208) 343-8907
(208) 343-9161
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
08/01/2006
Last updated
08/22/2020
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