East Idaho Surgical Assisting, LLC
NPI #1205201050 in Idaho Falls, Idaho
Provider Information
- NPI Number
- 1205201050
- Entity Type
- Organization
- Organization Name
- East Idaho Surgical Assisting, LLC
- Primary Specialty
- Specialist/Technologist, Other - Surgical Assistant
- Enumeration Date
- Dec 4, 2015
- Last Updated
- Jan 28, 2016
Practice Location
- Address
- 3100 CHANNING WAY
- City
- Idaho Falls
- State
- Idaho
- ZIP Code
- 83404-7533
- Phone
- (208) 529-6111
Authorized Official
- Name
- SAMANTHA MOLBERT, CSFA
- Title
- OWNER
- Phone
- (214) 227-2457
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist, Other - Surgical Assistant — Surgical Assistant |
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