IDAHO EYE CENTER PA

IDAHO FALLS, ID
NPI1629145685
Other NameIDAHO EYE SURGICENTER
Entity TypeOrganization
Authorized ContactBRADLEY P GARDNER
Senior Vice President
208-524-2025
Organization Subpart ?Yes
Primary Taxonomy261QA1903X Clinic/Center Ambulatory Surgical
Enumeration Date2006-11-28
Last Update Date2008-08-12
Business Address
IDAHO EYE CENTER PA
2025 E 17TH ST
IDAHO FALLS, ID 83404
Phone number: 208-524-2025
Mailing Address
IDAHO EYE CENTER PA
2025 E 17TH ST
IDAHO FALLS, ID 83404
Phone number: 208-524-2025