Rexburg Surgery Center LLC
NPI #1831134584 in Rexburg, Idaho
Provider Information
- NPI Number
- 1831134584
- Entity Type
- Organization
- Organization Name
- Rexburg Surgery Center LLC
- Primary Specialty
- Clinic/Center - Ambulatory Surgical
- Enumeration Date
- Jun 17, 2006
- Last Updated
- Aug 22, 2020
Practice Location
Authorized Official
- Name
- DR. DWAYNE M HANSEN, M.D.
- Title
- BOARD CHAIRMAN
- Phone
- (208) 359-2300
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Ambulatory Surgical — Ambulatory Surgical |
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