Organization
IDAHO CRH SURGEONS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MITCH GUTTENPLAN MD (SHAREHOLDER OWNER)
(425) 284-7890
Entity
Organization
Contact information
Practice address
8854 W EMERALD ST, SUITE 140, BOISE, ID 83704-4844
(208) 658-1774
(208) 321-4836
Mailing address
4040 LAKE WASHINGTON BLVD NE, SUITE 100, KIRKLAND, WA 98033-7874
(425) 284-7890
(425) 284-7896
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
03/31/2008
Last updated
03/31/2008
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