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Organization

EVEREST SURGICAL INSTITUTE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DAVID J BROWN MD (OWNER/PROVIDER)
(208) 378-4264
Entity
Organization

Contact information

Practice address
2960 E ST LUKES ST, MERIDIAN, ID 83642
(208) 378-4264
Mailing address
2960 EAST ST LUKE S STREET, MERIDIAN, ID 83642-9005
(208) 378-4264

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
261QA1903X
Ambulatory Surgical Clinic/Center

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1184652364
ID
Enumeration date
08/17/2021
Last updated
04/25/2025
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