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Organization

CLEARVIEW SURGERY CENTER, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BRENDA HALEN (OFFICE MGR)
(208) 882-4662
Entity
Organization

Contact information

Practice address
2840 JUNIPER DR, LEWISTON, ID 83501-4719
(208) 746-5100
Mailing address
2500 W A ST, SUITE 202, MOSCOW, ID 83843-6000

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
261QA1903X
Ambulatory Surgical Clinic/Center
Primary

Other

Enumeration date
07/10/2015
Last updated
07/10/2015
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