Inland Northwest Surgery Center Pllc

NPI #1770013443 in St Maries, Idaho

Provider Information

NPI Number: 1770013443
Entity Type: Organization
Organization Name: Inland Northwest Surgery Center Pllc
Primary Specialty: Podiatrist
Enumeration Date: Jun 15, 2017
Last Updated: Jun 15, 2017

Practice Location

Address: 229 S 7TH ST
City: St Maries
State: Idaho
ZIP Code: 83861-1803
Phone: (509) 924-2600

Authorized Official

Name: TRENA LUNDSTROM
Title: MANAGER
Phone: (509) 924-2600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Ambulatory Surgical — Ambulatory Surgical	261QA1903X
Podiatrist	213E00000X	Primary

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