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Pediatric Surgery of Idaho, PLLC

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Company Details

Name: Pediatric Surgery of Idaho, PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 05 Jun 2020 (5 years ago)
Financial Date End: 30 Jun 2026
Entity Number: 3901573
Place of Formation: IDAHO
File Number: 712370
ZIP code: 83616
County: Ada County
Principal Address: 3285 SHADOW HILLS DRIVE EAGLE, ID 83616
Mailing Address: 5720 N 3000 W TETONIA, ID 83452

Manager

Name Role Address Appointed On
Adrian Curnow Manager 417 GLADE LOOP, IDAHO FALLS, ID 83404 2021-07-05

Agent

Name Role Address
Adrian Curnow Agent 2115 POINTE HUNTER LANE, IDAHO FALLS, ID 83404

National Provider Identifier

NPI Number:
1609997261

Authorized Person:

Name:
ADRIAN CURNOW
Role:
PRES
Phone:

Taxonomy:

Selected Taxonomy:
2086S0120X - Pediatric Surgery Physician
Is Primary:
Yes

Contacts:

Fax:
2083455454

Filing

Filing Name Filing Number Filing date
Annual Report 0006340876 2025-07-05
Annual Report 0005807982 2024-07-06
Annual Report 0005268594 2023-06-05
Annual Report 0004771128 2022-06-06
Annual Report 0004333326 2021-07-05

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Date of last update: 07 Jul 2025

Sources: Idaho Secretary of State