Idaho Surgery Center, LLC

NPI #1386614519 in Caldwell, Idaho

Provider Information

NPI Number
1386614519
Entity Type
Organization
Organization Name
Idaho Surgery Center, LLC
Primary Specialty
Clinic/Center - Ambulatory Surgical
Enumeration Date
Jan 23, 2006
Last Updated
Aug 31, 2011

Practice Location

Address
3115 MEDICAL DRIVE
State
Idaho
ZIP Code
83605-6972
Phone
(208) 453-8668

Authorized Official

Name
KATHY HOGUE
Title
BUSINESS OFFICE MANAGER
Phone
(208) 453-8668

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Ambulatory SurgicalAmbulatory Surgical

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