| Magic Valley Surgery Clinic, Pa | |
|
630 Addison Ave W Ste 230 Twin Falls ID 83301-5474 | |
| (208) 736-8735 | |
| (208) 736-5999 |
| Full Name | Magic Valley Surgery Clinic, Pa |
|---|---|
| Speciality | Clinic/center |
| Location | 630 Addison Ave W Ste 230, Twin Falls, Idaho |
| Authorized Official Name and Position | Stephen E Schmid (OWNER) |
| Authorized Official Contact | 2087368735 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Magic Valley Surgery Clinic, Pa 630 Addison Ave W Ste 230 Twin Falls ID 83301-5474 Ph: (208) 736-8735 | Magic Valley Surgery Clinic, Pa 630 Addison Ave W Ste 230 Twin Falls ID 83301-5474 Ph: (208) 736-8735 |
| NPI Number | 1699971192 |
|---|---|
| Provider Enumeration Date | 06/22/2007 |
| Last Update Date | 07/12/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699971192 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | M-5842 (Idaho) | Primary |
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