Idaho Falls Asc
NPI #1174005235 in Idaho Falls, Idaho
Provider Information
- NPI Number
- 1174005235
- Entity Type
- Organization
- Organization Name
- Idaho Falls Asc
- Primary Specialty
- Clinic/Center - Ambulatory Surgical
- Enumeration Date
- Sep 5, 2018
- Last Updated
- Jan 23, 2023
Practice Location
- Address
- 3302 VALENCIA DRIVE
- Address 2
- SUITE 101A
- City
- Idaho Falls
- State
- Idaho
- ZIP Code
- 83404
- Phone
- (208) 557-4525
Authorized Official
- Name
- NED W HILLYARD
- Title
- CCO
- Phone
- (208) 557-2711
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Ambulatory Surgical — Ambulatory Surgical |
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