Organization · Type 2 NPI
Idaho Surgery Center, LLC
Ambulatory Surgical Clinic/Center · Caldwell, ID
NPI number
1386614519
Active
Practice location
3115 Medical Drive
Caldwell, ID 83605-6972
Fax (208) 453-8448
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ambulatory Surgical Clinic/Center Primary | 261QA1903X | None listed |
Ambulatory Surgical Clinic/Center: Definition to come...
About NPI 1386614519
Idaho Surgery Center, LLC's National Provider Identifier is 1386614519, issued on Jan 23, 2006. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Caldwell, ID. The record was last updated on Aug 31, 2011.