NPI | 1023228558 |
---|---|
Doing Business As | IDAHO ENDOSCOPY CENTER |
Entity Type | Organization |
Authorized Contact | ROBERT F GIBSON Physician 208-489-1900 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
Enumeration Date | 2007-05-23 |
Last Update Date | 2007-11-19 |