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1790340834
IDAHO SURGICAL, LLC
NAMPA, ID
NPI
1790340834
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Entity Type
Organization
Authorized Contact
BREN HEATON
Surgeon/Owner
208-854-9828
Organization Subpart ?
No
Primary Taxonomy
208600000X Surgery
Enumeration Date
2019-05-03
Last Update Date
2019-06-14
Business Address
IDAHO SURGICAL, LLC
6195 E HUNT AVE
NAMPA, ID 83687-8317
Phone number: 208-639-4900
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Mailing Address
IDAHO SURGICAL, LLC
1662 S LAKE CREST WAY
EAGLE, ID 83616-7142
Phone number:
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