SURGICARE CENTER OF IDAHO, LLC is an ambulatory surgical clinic center in Boise, ID. SURGICARE CENTER OF IDAHO, LLC NPI is 1114923471. The provider is registered as an organization entity type.
The provider's business location address is:
360 E MALLARD DR
STE 125
BOISE, ID
ZIP 83706-941
Phone: (208) 336-8700
Fax: (208) 426-0902
The provider's authorized official is Louis Pennow .
The authorized official title is Director and has the following contact phone number (208) 336-8700.
The CLIA number assigned to this NPI record is 13D1019855 - ambulatory surgery center with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 6/22/2005 and was last updated on 10/10/2016.