institution
Henry's Fork Surgery Center Pllc
Ambulatory Surgical Clinic/Center in Rexburg, Idaho
NPI 1235768490

Henry's Fork Surgery Center Pllc is an Ambulatory Surgical Clinic/Center based in Rexburg, ID and is specialized in Ambulatory Surgical. Henry's Fork Surgery Center Pllc practices in Rexburg, ID. The NPI Number for Henry's Fork Surgery Center Pllc is 1235768490 and holds a License No. (Idaho).

The current practice location address for Henry's Fork Surgery Center Pllc is 23 Sawtelle Ave, Rexburg, ID and can be reached out via phone at 208-359-1888 and via fax at 208-359-1889.

Location: 23 Sawtelle Ave, Rexburg, ID, 83440-0006
institution
Provider Profile Details
NPI Number
1235768490
Provider Name
Henry's Fork Surgery Center Pllc
Credential
Provider Entity Type
Organization
Address
23 Sawtelle Ave, Rexburg, ID, 83440-0006
Phone Number
208-359-1888
Fax Number
208-359-1889
Provider Enumeration Date
04/08/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1447301395 05 ID
institution
Provider Business Practice Location Address Details
Address
23 Sawtelle Ave
City
State
Zip
83440
Phone Number
208-359-1888
Fax Number
208-359-1889
person
Provider Business Mailing Address Details
Address
23 Sawtelle Ave
City
State
Zip
83440
Phone Number
208-359-1888
Fax Number
208-359-1889
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Ambulatory Surgical
Taxonomy
License No.
()
Definition
Definition to come...
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