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Sandpoint Surgical Associates

Surgery in Sandpoint, ID. Organization (NPI-2).

NPI number1992040356
StatusActive
Last updated in NPPESDec 11, 2012

Details

NPI
1992040356
Entity type
Organization (NPI-2)
Legal business name
Sandpoint Surgical Associates
Organization subpart
No
Enumeration date
Dec 11, 2012
Last updated
Dec 11, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208600000X Surgery––Yes

Practice location

502 N Second Ave
Suite 3
Sandpoint, ID 83864-1558

Phone 208-263-1421 · Fax 208-263-4430

Mailing address

502 N Second Ave
Suite 3
Sandpoint, ID 83864-1558

Phone 208-263-1421 · Fax 208-263-4430

Authorized official

Nathan C Kanning
Owner
2082631421

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