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1396069902
SOUTHERN IDAHO SURGERY CENTER PLLC
MERIDIAN, ID
NPI
1396069902
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Entity Type
Organization
Authorized Contact
MARLON B MICHEL
President
208-895-6611
Organization Subpart ?
No
Primary Taxonomy
261QA1903X Clinic/Center, Ambulatory Surgical
Enumeration Date
2010-03-25
Last Update Date
2012-07-09
Business Address
SOUTHERN IDAHO SURGERY CENTER PLLC
3235 N TOWERBRIDGE WAY STE 100
MERIDIAN, ID 83646-5721
Phone number: 208-895-6611
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Mailing Address
SOUTHERN IDAHO SURGERY CENTER PLLC
3235 N TOWERBRIDGE WAY STE 100
MERIDIAN, ID 83646-5721
Phone number: 208-895-6611
Copy
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