Parkway Surgery Center LLC

NPI #1013278993 in Blackfoot, Idaho

Provider Information

NPI Number
1013278993
Entity Type
Organization
Organization Name
Parkway Surgery Center LLC
Primary Specialty
Durable Medical Equipment & Medical Supplies
Enumeration Date
Jun 6, 2012
Last Updated
Jun 6, 2012

Practice Location

Address
1485 PARKWAY DR
State
Idaho
ZIP Code
83221-1667
Phone
(208) 785-5100

Authorized Official

Name
ROBERT J LEE, M.D.
Title
CO-MANAGER
Phone
(208) 785-5100

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies

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