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Parkway Surgery Center Llc
Ambulatory Surgical Clinic/Center in Blackfoot, Idaho
NPI 1275645574

Parkway Surgery Center Llc is an Ambulatory Surgical Clinic/Center based in Blackfoot, ID and is specialized in Ambulatory Surgical. Parkway Surgery Center Llc practices in Blackfoot, ID. The NPI Number for Parkway Surgery Center Llc is 1275645574 and holds a License No. (Idaho).

The current practice location address for Parkway Surgery Center Llc is 1485 Parkway Dr, Blackfoot, ID and can be reached out via phone at 208-785-5100 and via fax at 208-785-5112.

Location: 1485 Parkway Dr, Blackfoot, ID, 83221-1667
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1275645574
Provider Name
Parkway Surgery Center Llc
Credential
Provider Entity Type
Organization
Address
1485 Parkway Dr, Blackfoot, ID, 83221-1667
Phone Number
208-785-5100
Fax Number
208-785-5112
Provider Enumeration Date
08/31/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1275645574 05 ID
institution
Provider Business Practice Location Address Details
Address
1485 Parkway Dr
City
Blackfoot
State
Idaho
Zip
83221-1667
Phone Number
208-785-5100
Fax Number
208-785-5112
person
Provider Business Mailing Address Details
Address
1485 Parkway Dr
City
Blackfoot
State
Idaho
Zip
83221-1667
Phone Number
208-785-5100
Fax Number
208-785-5112
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Ambulatory Surgical
Taxonomy
261QA1903X
License No.
(Idaho)
Definition
Definition to come...
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