Organization · Type 2 NPI
Sunnyside Surgery Center, LLC
Ambulatory Surgical Clinic/Center · Idaho Falls, ID
NPI number
1285825075
Active
Practice location
3345 S Holmes Ave Ste B
Idaho Falls, ID 83404-7981
Fax (208) 528-8022
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ambulatory Surgical Clinic/Center Primary | 261QA1903X | P140-7 (ID) |
Ambulatory Surgical Clinic/Center: Definition to come...
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About NPI 1285825075
Sunnyside Surgery Center, LLC's National Provider Identifier is 1285825075, issued on Aug 6, 2007. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Idaho Falls, ID. The record was last updated on Aug 6, 2007.