institution
Blue Lakes Gastroenterology, Pllc
Gastroenterology Physician in Twin Falls, Idaho
NPI 1144267022

Blue Lakes Gastroenterology, Pllc is a Gastroenterology Physician based in Twin Falls, ID and is specialized in Gastroenterology. Blue Lakes Gastroenterology, Pllc practices in Twin Falls, ID. The NPI Number for Blue Lakes Gastroenterology, Pllc is 1144267022 and holds a License No. M6665 (Idaho).

The current practice location address for Blue Lakes Gastroenterology, Pllc is 775 Pole Line Rd W, Twin Falls, ID and can be reached out via phone at 208-814-8300 and via fax at 208-733-8970. You can also correspond with Blue Lakes Gastroenterology, Pllc through the mailing address at 775 POLE LINE RD W, TWIN FALLS, ID - 83301-5814 (mailing address contact number: 208-814-8300).

Location: 775 Pole Line Rd W, Twin Falls, ID, 83301-5814
institution
Provider Profile Details
NPI Number
1144267022
Provider Name
Blue Lakes Gastroenterology, Pllc
Credential
Provider Entity Type
Organization
Address
775 Pole Line Rd W, Twin Falls, ID, 83301-5814
Phone Number
208-814-8300
Fax Number
208-733-8970
Provider Enumeration Date
06/01/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
806237600 05 ID
CJ6218 01 ID RR MEDICARE
institution
Provider Business Practice Location Address Details
Address
775 Pole Line Rd W
City
State
Zip
83301-5814
Phone Number
208-814-8300
Fax Number
208-733-8970
person
Provider Business Mailing Address Details
Address
775 Pole Line Rd W
City
State
Zip
83301-5814
Phone Number
208-814-8300
Fax Number
208-733-8970
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Gastroenterology
Taxonomy
License No.
M6665 (Idaho)
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
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