Idaho Surgicenter North LLC
NPI #1194735522 in Idaho Falls, Idaho
Provider Information
- NPI Number
- 1194735522
- Entity Type
- Organization
- Organization Name
- Idaho Surgicenter North LLC
- Primary Specialty
- Clinic/Center - Ambulatory Surgical
- Enumeration Date
- Aug 8, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 3369 MERLIN DR
- City
- Idaho Falls
- State
- Idaho
- ZIP Code
- 83404-7405
- Phone
- (208) 529-0009
Authorized Official
- Name
- DR. TONY D QUINTON, DPM
- Title
- OWNER
- Phone
- (208) 529-0009
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Ambulatory Surgical — Ambulatory Surgical |
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