Organization
GENESIS SURGICAL ASSISTING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD CURTIS CSFA (MANAGER)
(208) 866-8277
Entity
Organization
Contact information
Practice address
348 W BLOOMINGTON DR, MERIDIAN, ID 83642-6942
(208) 866-8277
Mailing address
348 W BLOOMINGTON DR, MERIDIAN, ID 83642-6942
(208) 866-8277
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
116257
ID
363AS0400X
Surgical Physician Assistant
Primary
116257
ID
Other
Enumeration date
04/15/2015
Last updated
06/18/2015
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