Organization
ERM SURGICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENDON HOWARD (OWNER)
(208) 972-0420
Entity
Organization
Contact information
Practice address
919 S UTAH AVE, IDAHO FALLS, ID 83402-3322
(208) 972-0420
Mailing address
919 S UTAH AVE, IDAHO FALLS, ID 83402-3322
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
01/23/2023
Last updated
04/21/2023
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