NPI 1164372777

Southeastern Idaho Surgical Associates, PLLC

Organisation Surgery Physician Idaho Falls, ID

Practice location

Address: 2805 Valencia Dr, Idaho Falls, ID 83404-7597
Phone: (208) 525-9400
Fax: (208) 525-6151

Authorised official

Name: Brett McBride
Title: Owner
Phone: (208) 525-9400

Registered specialties

Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208600000X

Other Surgery providers in Idaho →

Registry record

NPI: 1164372777
Entity type: Organization
NPI issued: 2 Feb 2026
Record last updated: 3 Apr 2026

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.