Emerald Surgical Center Llc

NPI 1376607309 - Clinic/Center - 261QA1903X

NPI Details
NPI 1376607309
Enumeration Date 12/21/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name KERRY W. KERRY
Position MGN. PARTNER
Phone (208) 323-4522
Fax
Practice Location
811 N LIBERTY ST
BOISE ID, 83704-8703, US
Phone (208) 323-4522
Fax
Business Location
811 N LIBERTY ST
BOISE ID, 83704-8703, US
Phone (208) 323-4522
Fax
Toxanomy
Taxonomy Code 261QA1903X
License State
License Number
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According to our database, Emerald Surgical Center Llc NPI is 1376607309, taxonomy code is 261QA1903X Emerald Surgical Center Llc physically located at 811 N Liberty St, Boise ID, 83704-8703. NPI Number 1033115704 has the healthcare provider type.

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1376607309 NPI number is provided on an as is basis without warranty of any kind. 1376607309 is maintained by the National Plan & Provider Enumeration System. The contents of Emerald Surgical Center Llc are for informational purposes only.