Idaho Falls Surcigal Center
Idaho Falls Surcigal Center is an Ambulatory Surgical Clinic/Center in Idaho Falls, Idaho. Licensed in Idaho. Registered with an NPI since 2006.
- Licensed in
- ID
- In the registry since
- 2006
Practice location Address checks out
1945 E 17th StIdaho Falls, ID 83404-6429
Phone: (208) 529-1945
Fax: (208) 529-1961
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Ambulatory Surgical Clinic/Center (primary) | Taxonomy 261QA1903X · Licence 13-C0001000 (ID) |
|---|
Record details
| NPI number | 1053481218 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Mark Petersen — President · (208) 529-1945 |
| Other names | Idaho Falls Surgical Center Asc |
| NPI enumerated | November 8, 2006 |
| Last updated in NPPES | June 9, 2008 |
| Mailing address | Po Box 52180, Idaho Falls, ID 83405-2180 |
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