Organization
PREMIER SURGICAL CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN REED SONNTAG M.D. (MEDICAL DIRECTOR)
(208) 377-3937
Entity
Organization
Contact information
Practice address
5680 W GAGE ST, BOISE, ID 83706-1326
(208) 377-3937
(208) 377-9455
Mailing address
5680 W GAGE ST, BOISE, ID 83706-1326
(208) 377-3937
(208) 377-9455
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
11/29/2005
Last updated
10/07/2011
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