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VICTORY SURGICAL SERVICES, PLLC

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Company Details

Name: VICTORY SURGICAL SERVICES, PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 02 Oct 2012 (13 years ago)
Financial Date End: 31 Oct 2025
Entity Number: 362005
Place of Formation: IDAHO
File Number: 362005
ZIP code: 83702
County: Ada County
Principal Address: 2309 N. CLAREMONT DR. BOISE, ID 83702
Mailing Address: 2309 N CLAREMONT DR BOISE, ID 83702-3018

Agent

Name Role Address
STEVEN WILLIAMS Agent 2309 N. CLAREMONT DR, BOISE, ID 83702

Manager

Name Role Address Appointed On
Steven W Williams Manager 2309 N. CLAREMONT DR, BOISE, ID 83702 2020-09-14

National Provider Identifier

NPI Number:
1114412731

Authorized Person:

Name:
KERI L HINE
Role:
ADMINISTRATOR
Phone:

Taxonomy:

Selected Taxonomy:
208600000X - Surgery Physician
Is Primary:
Yes

Contacts:

Fax:
2083214836

Filing

Filing Name Filing Number Filing date
Annual Report 0005882860 2024-09-04
Annual Report 0005384946 2023-09-06
Annual Report 0004927740 2022-09-29
Annual Report 0004409601 2021-09-07
Annual Report 0004003172 2020-09-14

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Date of last update: 20 Jul 2025

Sources: Idaho Secretary of State