IDAHO FALLS SURGICAL CENTER

IDAHO FALLS, ID
NPI1952568099
Entity TypeOrganization
Authorized ContactMARK L. PETERSEN
President
208-529-1945
Organization Subpart ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
Enumeration Date2008-05-16
Last Update Date2008-05-16
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: 208-529-1945
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