Henrys Fork Surgery Center Pllc
NPI #1235768490 in Rexburg, Idaho
Provider Information
- NPI Number
- 1235768490
- Entity Type
- Organization
- Organization Name
- Henrys Fork Surgery Center Pllc
- Primary Specialty
- Clinic/Center - Ambulatory Surgical
- Enumeration Date
- Apr 8, 2020
- Last Updated
- Jun 19, 2025
Practice Location
Authorized Official
- Name
- JEREMY JOHNSON
- Title
- MANAGER
- Phone
- (208) 359-1888
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Ambulatory Surgical — Ambulatory Surgical |
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