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1225488216
MADISON AVENUE SURGERY CENTER LLC
IDAHO FALLS, ID
NPI
1225488216
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Entity Type
Organization
Authorized Contact
KIM BELL
Office Manager
208-881-5351
Organization Subpart ?
No
Primary Taxonomy
261QA1903X Clinic/Center Ambulatory Surgical
Enumeration Date
2016-06-21
Last Update Date
2016-12-29
Business Address
MADISON AVENUE SURGERY CENTER LLC
1855 MADISON AVENUE
IDAHO FALLS, ID 83404
Phone number: 208-881-5351
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Mailing Address
MADISON AVENUE SURGERY CENTER LLC
1855 MADISON AVENUE
IDAHO FALLS, ID 83404
Phone number:
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