Pcs Endoscopy Suite

NPI #1831265321 in Pocatello, Idaho

Provider Information

NPI Number
1831265321
Entity Type
Organization
Organization Name
Pcs Endoscopy Suite
Primary Specialty
Clinic/Center - Ambulatory Surgical
Enumeration Date
Nov 27, 2006
Last Updated
Sep 18, 2012

Practice Location

Address
110 VISTA DRIVE
State
Idaho
ZIP Code
83201-4835
Phone
(208) 234-0024

Authorized Official

Name
DR. MARK L. MANSFIELD, MD
Title
PRESIDENT
Phone
(208) 234-0024

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Ambulatory SurgicalAmbulatory Surgical

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