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1821303298
IDAHO FALLS SURGICAL CENTER
IDAHO FALLS, ID
NPI
1821303298
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Entity Type
Organization
Authorized Contact
MARK L PETERSEN
Pres
208-529-1945
Organization Subpart ?
No
Primary Taxonomy
332B00000X Durable Medical Equipment & Medical Supplies
Enumeration Date
2010-08-10
Last Update Date
2010-08-10
Business Address
IDAHO FALLS SURGICAL CENTER
1945 E 17TH ST
IDAHO FALLS, ID 83404-6429
Phone number: 208-529-1945
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Mailing Address
IDAHO FALLS SURGICAL CENTER
PO BOX 52180
IDAHO FALLS, ID 83405-2180
Phone number: 208-552-8764
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