Madison Avenue Surgery Center LLC
NPI #1225488216 in Idaho Falls, Idaho
Provider Information
- NPI Number
- 1225488216
- Entity Type
- Organization
- Organization Name
- Madison Avenue Surgery Center LLC
- Primary Specialty
- Clinic/Center - Ambulatory Surgical
- Enumeration Date
- Jun 21, 2016
- Last Updated
- Dec 29, 2016
Practice Location
- Address
- 1855 MADISON AVENUE
- City
- Idaho Falls
- State
- Idaho
- ZIP Code
- 83404
- Phone
- (208) 881-5351
Authorized Official
- Name
- KIM BELL
- Title
- OFFICE MANAGER
- Phone
- (208) 881-5351
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Ambulatory Surgical — Ambulatory Surgical |
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