Ambulatory Surgery Center of Burley, LLC
NPI #1992706840 in Burley, Idaho
Provider Information
- NPI Number
- 1992706840
- Entity Type
- Organization
- Organization Name
- Ambulatory Surgery Center of Burley, LLC
- Primary Specialty
- Clinic/Center - Ambulatory Surgical
- Enumeration Date
- Aug 2, 2005
- Last Updated
- Aug 17, 2017
Practice Location
Authorized Official
- Name
- DR. JOSEPH R. PETERSEN, M.D.
- Title
- CEO
- Phone
- (208) 677-8888
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Anesthetist, Certified Registered |
| Clinic/Center - Ambulatory Surgical — Ambulatory Surgical |
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