Organization · Type 2 NPI
Grange Surgery Center PLLC
Ambulatory Surgical Clinic/Center · Eagle, ID
NPI number
1316663032
Active
Practice location
450 W State St Ste 250
Eagle, ID 83616-6974
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ambulatory Surgical Clinic/Center Primary | 261QA1903X | None listed |
| Ophthalmologic Surgery Clinic/Center | 261QS0132X | None listed |
Ambulatory Surgical Clinic/Center: Definition to come...
Another provider at this address
About NPI 1316663032
Grange Surgery Center PLLC's National Provider Identifier is 1316663032, issued on Oct 14, 2022. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Eagle, ID. The record was last updated on Aug 22, 2023.