Organization · Type 2 NPI

Madison Avenue Surgery Center LLC

Ambulatory Surgical Clinic/Center · Idaho Falls, ID

NPI number 1396100491 Active

Practice location

3760 Washington Pkwy
Idaho Falls, ID 83404-7593

Call (208) 881-5351 Map

Specialties and licenses

TaxonomyCodeLicense
Ambulatory Surgical Clinic/Center Primary 261QA1903XNone listed

Ambulatory Surgical Clinic/Center: Definition to come...

11 other providers at this address

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About NPI 1396100491

Madison Avenue Surgery Center LLC's National Provider Identifier is 1396100491, issued on Dec 16, 2015. 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 Dec 16, 2015.