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Organization
SKYLINE SURGERY CENTER, LLC
Active
Organization
SKYLINE SURGERY CENTER, LLC
Active
Other names
Skyline Surgery Center Inc
Organization subpart
No
Provider details
NPI number
Authorized official
KATHRYN BUCKALEW (ADMINISTRATOR)
(208) 785-3877
Entity
Organization
Contact information
Practice address
285 VISTA DR, STE C, POCATELLO, ID 83201
(208) 478-1704
(208) 233-6970
Mailing address
285 VISTA DRIVE, SUITE C, POCATELLO, ID 83201
(208) 478-1704
(208) 233-6970
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
06/17/2008
Last updated
05/31/2018
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