IDAHO FALLS SURGICAL CENTER

IDAHO FALLS, ID
NPI1821303298
Entity TypeOrganization
Authorized ContactMARK L PETERSEN
Pres
208-529-1945
Organization Subpart ?No
Primary Taxonomy332B00000X Durable Medical Equipment & Medical Supplies
Enumeration Date2010-08-10
Last Update Date2010-08-10
Business Address
IDAHO FALLS SURGICAL CENTER
1945 E 17TH ST
IDAHO FALLS, ID 83404-6429
Phone number: 208-529-1945
Mailing Address
IDAHO FALLS SURGICAL CENTER
PO BOX 52180
IDAHO FALLS, ID 83405-2180
Phone number: 208-552-8764