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Organization
CREEKSIDE SURGERY CENTER LLC
Active
Organization
CREEKSIDE SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATHERINE L LINDERMAN MD (OWNER)
(208) 524-0610
Entity
Organization
Contact information
Practice address
2375 E SUNNYSIDE RD, SUITE B, IDAHO FALLS, ID 83404-8280
(208) 524-0610
(208) 557-0171
Mailing address
2375 E SUNNYSIDE RD, SUITE B, IDAHO FALLS, ID 83404-8280
(208) 524-0610
(208) 524-0171
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
806782200
—
ID
Enumeration date
09/26/2006
Last updated
06/25/2008
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