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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