SOUTHERN IDAHO SURGERY CENTER PLLC is an ambulatory surgical clinic center in Meridian, ID. SOUTHERN IDAHO SURGERY CENTER PLLC NPI is 1396069902. The provider is registered as an organization entity type.
The provider's business location address is:
3235 N TOWERBRIDGE WAY STE 100
MERIDIAN, ID
ZIP 83646-721
Phone: (208) 895-6611
The provider's authorized official is Marlon B Michel .
The authorized official title is President and has the following contact phone number (208) 895-6611.
The CLIA number assigned to this NPI record is 13D2106536 - ambulatory surgery center with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 3/25/2010 and was last updated on 7/9/2012.