Parkway Surgery Center LLC

NPI #1275645574 in Blackfoot, Idaho

Provider Information

NPI Number
1275645574
Entity Type
Organization
Organization Name
Parkway Surgery Center LLC
Primary Specialty
Clinic/Center - Ambulatory Surgical
Enumeration Date
Aug 31, 2006
Last Updated
Jul 12, 2013

Practice Location

Address
1485 PARKWAY DR
State
Idaho
ZIP Code
83221-1667
Phone
(208) 785-5100

Authorized Official

Name
ROBERT J LEE, MD
Title
CO MANAGER
Phone
(208) 522-4409

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Ambulatory SurgicalAmbulatory Surgical

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