Mini-Cassia Surgical PC
Mini-Cassia Surgical PC is a Surgery Physician in Rupert, Idaho. Licensed in Idaho. Registered with an NPI since 2011.
- Licensed in
- ID
- In the registry since
- 2011
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1218 9th St Ste 10Rupert, ID 83350-2207
Phone: (208) 436-8340
Fax: (208) 436-3956
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Surgery Physician (primary) | Taxonomy 208600000X · Licence M7497 (ID) |
|---|
Record details
| NPI number | 1457656217 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Daclynn Johnson — President · (208) 436-8340 |
| NPI enumerated | January 25, 2011 |
| Last updated in NPPES | January 25, 2011 |
| Mailing address | 1218 9th St, Ste 10, Rupert, ID 83350-2207 |
Other providers in Rupert
-
Leo R Brown, MD
133 W 400 N, Rupert, ID 83350-8547 · (208) 436-0401