Organization · Type 2 NPI

Portneuf Asc, LLC

Ambulatory Surgical Clinic/Center · Pocatello, ID

NPI number 1871016071 Active

Practice location

1151 Hospital Way Bldg A
Pocatello, ID 83201-5091

Fax (208) 232-6618

Mailing address

1 Burton Hills Blvd Ste 250
Nashville, TN 37215-6195

Specialties and licenses

TaxonomyCodeLicense
Ambulatory Surgical Clinic/Center Primary 261QA1903XNone listed

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

8 other providers at this address

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About NPI 1871016071

Portneuf Asc, LLC's National Provider Identifier is 1871016071, issued on Jul 19, 2017. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Pocatello, ID. The record was last updated on Jul 19, 2017.