Organization
MVH SURGICAL SPECIALISTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NED W HILLYARD (CHIEF COMPLIANCE OFFICER)
(208) 709-4571
Entity
Organization
Contact information
Practice address
150 VISTA DR., POCATELLO, ID 83201-2600
(208) 904-0744
(208) 542-4287
Mailing address
150 VISTA DRIVE, POCATELLO, ID 83201
(208) 904-0744
(208) 542-4287
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
02/10/2017
Last updated
02/17/2023
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