Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Idaho Falls Surgical Center

Organization Certified Registered Nurse Anesthetist · NPI 1952568099

Idaho Falls Surgical Center is a Certified Registered Nurse Anesthetist in Idaho Falls, Idaho. Registered with an NPI since 2008.

In the registry since
2008

Practice location Address checks out

1945 E 17th St
Idaho Falls, ID 83404-6429
Phone: (208) 529-1945
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X

Record details

NPI number1952568099
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mark Petersen — President · (208) 529-1945
NPI enumeratedMay 16, 2008
Last updated in NPPESMay 16, 2008
Mailing addressPo Box 52180, Idaho Falls, ID 83405-2180

Other providers in Idaho Falls