Pcs Procedure Suite LLC

NPI #1659029411 in Pocatello, Idaho

Provider Information

NPI Number
1659029411
Entity Type
Organization
Organization Name
Pcs Procedure Suite LLC
Primary Specialty
Clinic/Center - Ambulatory Surgical
Enumeration Date
Mar 11, 2022
Last Updated
Sep 28, 2023

Practice Location

Address
110 VISTA DR
State
Idaho
ZIP Code
83201-5824
Phone
(208) 234-2300

Authorized Official

Name
MARK L MANSFIELD, MD
Title
OWNER
Phone
(208) 234-2300

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Ambulatory SurgicalAmbulatory Surgical

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