Surgicare Center Of Idaho, Llc

NPI 1114923471 - Clinic/Center - 261QS0132X

NPI Details
NPI 1114923471
Enumeration Date 06/22/2005
Last Updated 10/10/2014
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name LOUIS LOUIS
Position DIRECTOR
Phone (208) 336-8700
Fax (208) 426-0902
Practice Location
360 E MALLARD DR
STE 125
BOISE ID, 83706-3941, US
Phone (208) 336-8700
Fax (208) 426-0902
Business Location
360 E MALLARD DR
STE 125
BOISE ID, 83706-6644, US
Phone (208) 336-8700
Fax (208) 426-0902
Toxanomy
Taxonomy Code 261QS0132X
License State
License Number
Remove 1114923471 NPI Number
 

According to our database, Surgicare Center Of Idaho, Llc NPI is 1114923471, taxonomy code is 261QS0132X Surgicare Center Of Idaho, Llc physically located at 360 E Mallard Dr, Boise ID, 83706-3941. NPI Number 1033115704 has the healthcare provider type.

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1114923471 NPI number is provided on an as is basis without warranty of any kind. 1114923471 is maintained by the National Plan & Provider Enumeration System. The contents of Surgicare Center Of Idaho, Llc are for informational purposes only.