NPI 1013278993

Parkway Surgery Center LLC

Organisation Durable Medical Equipment & Medical Supplies Blackfoot, ID

Practice location

Address: 1485 Parkway Dr, Blackfoot, ID 83221-1667
Phone: (208) 785-5100
Fax: (208) 785-5112

Authorised official

Name: Robert J Lee
Title: Co-Manager
Phone: (208) 785-5100

Registered specialties

Durable Medical Equipment & Medical Supplies Primary

Suppliers Taxonomy 332B00000X Licence NO LICENSE REQUIRED (ID)

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Registry record

NPI: 1013278993
Entity type: Organization
NPI issued: 6 Jun 2012
Record last updated: 6 Jun 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.