OrganizationActive
Capital Surgical Associates, PA
NPI 1902854433 · Surgery Physician · Boise, ID
Provider details
- NPI number
- 1902854433
- Entity type
- Organization
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Lisa Jack, Practice Manager
Practice location
8854 W Emerald St
Suite 140
Boise, ID 83704-4845
Phone: (208) 321-4790
Fax: (208) 321-4836
Mailing address
8854 W Emerald St Ste 140
Boise, ID 83704-4845
Registry dates
- Enumerated
- 2006-05-05
- Last updated
- 2025-08-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.