Palouse Surgery Center, Llc

NPI Provider: 1750386256
Contact Name: Decker Marie Susan
Position: Office Manager
Phone: (208) 883-1500

Palouse Surgery Center, Llc Information:

Palouse Surgery Center, Llc organization have npi 1750386256, taxonomy code is 261QA1903X with license number is 18286 in . This Business address located in 2300 W A St, Moscow, ID 83843 Idaho.

Practice Location
Address: 2300 W A St, Moscow, ID 83843
Phone: (208) 883-1500

Business Location
Address: 2300 W A St, Moscow, ID 83843
Phone: (208) 883-1500
Fax: (208) 882-7701

Taxonomy

Taxonomy Code: 261QA1903X

License Number: 18286

License Number of State: ID

Primary Taxonomy Switch: Y

Enumeration Date: 6/20/2005

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