Organization
IDAHO OTOLOGIC SURGERY CENTER, LLC
Active
Other names
Syringa Outpatient Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES CRAWFORD MD (OWNER)
(253) 278-4304
Entity
Organization
Contact information
Practice address
1209 N SUMMERBROOK AVE STE 110, MERIDIAN, ID 83642-8760
(208) 938-5823
(208) 963-3270
Mailing address
13900 W WAINWRIGHT DR STE 102, BOISE, ID 83713-5028
(480) 455-2769
(208) 963-3270
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
05/27/2021
Last updated
10/06/2022
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