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NPI Provider: 1811992811
Contact Name: Blackmer J David
Position: Medical Director
Phone: (208) 734-5993
Addison Surgery Center Information:
Addison Surgery Center organization have npi 1811992811, taxonomy code is 261QA1903X with license number is HCC5203 in . This Business address located in 191 Addison Ave, Twin Falls, ID 83301 Idaho. Get directions of Addison Surgery Center.
Practice Location
Address: 191 Addison Ave, Twin Falls, ID 83301
Phone: (208) 734-5993
Business Location
Address: 191 Addison Ave, Twin Falls, ID 83301
Phone: (208) 734-5993
Fax: (208) 736-1968
Taxonomy
Taxonomy Code: 261QA1903X
License Number: HCC5203
License Number of State: FL
Primary Taxonomy Switch: Y
Enumeration Date: 6/16/2005
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