Addison Surgery Center Inc | |
191 Addison Ave Twin Falls ID 83301-5177 | |
(208) 734-8441 | |
(208) 734-5993 |
Full Name | Addison Surgery Center Inc |
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Speciality | Clinic/center |
Location | 191 Addison Ave, Twin Falls, Idaho |
Authorized Official Name and Position | David A. Blackmer (PODIATRIST) |
Authorized Official Contact | 2087348441 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Addison Surgery Center Inc Po Box 16820 Boise ID 83715-6820 Ph: (208) 734-8441 | Addison Surgery Center Inc 191 Addison Ave Twin Falls ID 83301-5177 Ph: (208) 734-8441 |
NPI Number | 1952414609 |
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Provider Enumeration Date | 08/16/2006 |
Last Update Date | 01/04/2012 |
Identifier | Type | State | Issuer |
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1952414609 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | P 118 (Idaho) | Primary |
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