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Portneuf Asc, Llc
Ambulatory Surgical Clinic/Center in Pocatello, Idaho
NPI 1871016071

Portneuf Asc, Llc is an Ambulatory Surgical Clinic/Center based in Nashville, ID and is specialized in Ambulatory Surgical. Portneuf Asc, Llc practices in Pocatello, ID. The NPI Number for Portneuf Asc, Llc is 1871016071 and holds a License No. (Idaho).

The current practice location address for Portneuf Asc, Llc is 1151 Hospital Way Bldg A, Pocatello, ID and can be reached out via phone at 208-232-6616 and via fax at 208-232-6618.

Location: 1151 Hospital Way Bldg A, Pocatello, ID, 37215-6195
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1871016071
Provider Name
Portneuf Asc, Llc
Credential
Provider Entity Type
Organization
Address
1151 Hospital Way Bldg A, Pocatello, ID, 37215-6195
Phone Number
208-232-6616
Fax Number
208-232-6618
Provider Enumeration Date
07/19/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1151 Hospital Way Bldg A
City
Pocatello
State
Idaho
Zip
83201-5091
Phone Number
208-232-6616
Fax Number
208-232-6618
person
Provider Business Mailing Address Details
Address
1151 Hospital Way Bldg A
City
Pocatello
State
Idaho
Zip
83201-5091
Phone Number
208-232-6616
Fax Number
208-232-6618
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Ambulatory Surgical
Taxonomy
261QA1903X
License No.
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Definition
Definition to come...
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