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Medical Surgical Group Inc
Mammography Clinic/Center in Lewiston, Idaho
NPI 1306917000

Medical Surgical Group Inc is a Mammography Clinic/Center based in Lewiston, ID and is specialized in Radiology, Mammography. Medical Surgical Group Inc practices in Lewiston, ID. The NPI Number for Medical Surgical Group Inc is 1306917000 and holds a License No. 164590 (Idaho).

The current practice location address for Medical Surgical Group Inc is 307 Saint Johns Way, Lewiston, ID and can be reached out via phone at 208-743-0962.

Location: 307 Saint Johns Way, Lewiston, ID, 83501-2435
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1306917000
Provider Name
Medical Surgical Group Inc
Credential
Provider Entity Type
Organization
Address
307 Saint Johns Way, Lewiston, ID, 83501-2435
Phone Number
208-743-0962
Fax Number
Provider Enumeration Date
11/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000010005483 01 ID REGENCE
8987-0 01 ID BLUE CROSS OF IDAHO
7025844 05 WA
institution
Provider Business Practice Location Address Details
Address
307 Saint Johns Way
City
Lewiston
State
Idaho
Zip
83501-2435
Phone Number
208-743-0962
Fax Number
person
Provider Business Mailing Address Details
Address
307 Saint Johns Way
City
Lewiston
State
Idaho
Zip
83501-2435
Phone Number
208-743-0962
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Radiology, Mammography
Taxonomy
261QR0206X
License No.
164590 (Idaho)
Definition
Definition to come...
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