Organization · Type 2 NPI

Idaho Otologic Surgery Center, LLC

Ambulatory Surgical Clinic/Center · Meridian, ID

NPI number 1972179208 Active

Practice location

1209 N Summerbrook Ave Ste 110
Meridian, ID 83642-8760

Call (208) 938-5823 Map

Fax (208) 963-3270

Mailing address

13900 W Wainwright Dr Ste 102
Boise, ID 83713-5028

Specialties and licenses

Taxonomy	Code	License
Ambulatory Surgical Clinic/Center Primary	261QA1903X	None listed

Ambulatory Surgical Clinic/Center: Definition to come...

Another provider at this address

Idaho Ear AudiololgyAudiologist Meridian, ID NPI 1366049843

Other ambulatory surgical clinic/center providers in Meridian

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NPI record

NPI: 1972179208
Entity type: Organization (Type 2)
Issued: May 27, 2021
Last updated: Oct 6, 2022
Status: Active

Other names

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Syringa Outpatient Surgery Center · doing business as
Syringa Outpatient Surgery Center · doing business as

Authorized official

James Crawford, MD
Owner
(253) 278-4304

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1972179208

Idaho Otologic Surgery Center, LLC's National Provider Identifier is 1972179208, issued on May 27, 2021. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Meridian, ID. The record was last updated on Oct 6, 2022.