IDAHO OTOLOGIC SURGERY CENTER, LLC is an ambulatory surgical clinic center in Meridian, ID. IDAHO OTOLOGIC SURGERY CENTER, LLC NPI is 1972179208. The provider is registered as an organization entity type.
The provider Is Doing Business As Syringa Outpatient Surgery Center.
The provider's business location address is:
1209 N SUMMERBROOK AVE STE 110
MERIDIAN, ID
ZIP 83642-760
Phone: (208) 938-5823
Fax: (208) 963-3270
The provider's authorized official is James Crawford .
The authorized official title is Owner and has the following contact phone number (253) 278-4304.
The CLIA number assigned to this NPI record is 13D2255657 - ambulatory surgery center with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 5/27/2021 and was last updated on 10/6/2022.