| NPI | 1043835713 |
|---|---|
| Doing Business As | NAMPA IDAHO ENDOSCOPY CENTER |
| Entity Type | Organization |
| Authorized Contact | MARK A MALLORY Manager 208-489-1900 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2020-06-09 |
| Last Update Date | 2020-07-30 |