institution
Boise Endoscopy Center, Llc
Ambulatory Surgical Clinic/Center in Boise, Idaho
NPI 1114912102

Boise Endoscopy Center, Llc is an Ambulatory Surgical Clinic/Center based in Boise, ID and is specialized in Ambulatory Surgical. Boise Endoscopy Center, Llc practices in Boise, ID. The NPI Number for Boise Endoscopy Center, Llc is 1114912102 and holds a License No. 1870273 (Idaho).

The current practice location address for Boise Endoscopy Center, Llc is 425 W Bannock St, Boise, ID and can be reached out via phone at 208-342-7169 and via fax at 208-368-0863.

Location: 425 W Bannock St, Boise, ID, 83702-6035
institution
Provider Profile Details
NPI Number
1114912102
Provider Name
Boise Endoscopy Center, Llc
Credential
Provider Entity Type
Organization
Address
425 W Bannock St, Boise, ID, 83702-6035
Phone Number
208-342-7169
Fax Number
208-368-0863
Provider Enumeration Date
09/15/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000010005291 01 ID BLUE SHIELD OF IDAHO
04580 01 ID BLUE CROSS OF IDAHO
805944300 05 ID
institution
Provider Business Practice Location Address Details
Address
425 W Bannock St
City
State
Zip
83702-6035
Phone Number
208-342-7169
Fax Number
208-368-0863
person
Provider Business Mailing Address Details
Address
425 W Bannock St
City
State
Zip
83702-6035
Phone Number
208-342-7169
Fax Number
208-368-0863
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Ambulatory Surgical
Taxonomy
License No.
1870273 (Idaho)
Definition
Definition to come...
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