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1033712781
ASC NORTHWEST LLC
COEUR D ALENE, ID
NPI
1033712781
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Entity Type
Organization
Authorized Contact
KELLIE CARTER
Practice Manager
208-667-1376
Organization Subpart ?
No
Primary Taxonomy
261QA1903X Clinic/Center, Ambulatory Surgical
Enumeration Date
2020-11-17
Last Update Date
2021-04-12
Business Address
ASC NORTHWEST LLC
850 W IRONWOOD DR STE B-101
COEUR D ALENE, ID 83814-4903
Phone number: 208-667-1376
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Mailing Address
ASC NORTHWEST LLC
850 W IRONWOOD DR STE B-101
COEUR D ALENE, ID 83814-4903
Phone number: 208-667-1376
Copy
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