Organization
EMERALD SURGICAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KERRY W. ANDERSON DPM (MGN. PARTNER)
(208) 323-4522
Entity
Organization
Contact information
Practice address
811 N LIBERTY ST, BOISE, ID 83704-8703
(208) 323-4522
Mailing address
811 N LIBERTY ST, BOISE, ID 83704-8703
(208) 323-4522
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
12/21/2006
Last updated
08/22/2020
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