BLUE LAKES GASTROENTEROLOGY, PLLC

TWIN FALLS, ID
NPI1144267022
Entity TypeOrganization
Authorized ContactROBERT WARD
Physician
208-814-8300
Organization Subpart ?No
Primary Taxonomy207RG0100X Internal Medicine, Gastroenterology
(Licence: ID  M6665)
Enumeration Date2006-06-01
Last Update Date2013-03-09
Business Address
BLUE LAKES GASTROENTEROLOGY, PLLC
775 POLE LINE RD W SUITE 203
TWIN FALLS, ID 83301-5814
Phone number: 208-814-8300
Mailing Address
BLUE LAKES GASTROENTEROLOGY, PLLC
775 POLE LINE RD W SUITE 203
TWIN FALLS, ID 83301-5814
Phone number: 208-814-8300