Idaho Surgicenter INC

NPI #1992759930 in Pocatello, Idaho

Provider Information

NPI Number: 1992759930
Entity Type: Organization
Organization Name: Idaho Surgicenter INC
Primary Specialty: Clinic/Center - Ambulatory Surgical
Enumeration Date: May 22, 2006
Last Updated: Jan 31, 2022

Practice Location

Address: 1157 CALL PLACE
City: Pocatello
State: Idaho
ZIP Code: 83201
Phone: (208) 238-6337

Authorized Official

Name: MR. SEAN BARNARD
Title: ADMINISTRATOR
Phone: (208) 852-6242

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist - Foot & Ankle Surgery — Foot & Ankle Surgery	213ES0103X
Durable Medical Equipment & Medical Supplies	332B00000X
Clinic/Center - Ambulatory Surgical — Ambulatory Surgical	261QA1903X	Primary

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