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Organization
RIVER CITY SURGICAL CENTER
Active
Organization
RIVER CITY SURGICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROY ROGERS D.D.S. (MEMBER)
(208) 376-8873
Entity
Organization
Contact information
Practice address
10118 W OVERLAND RD, BOISE, ID 83709-1428
(208) 887-2233
Mailing address
PO BOX 44163, BOISE, ID 83711-0163
(208) 887-2233
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
10/22/2015
Last updated
08/22/2016
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