| NPI | 1669410361 |
|---|---|
| Doing Business As | SNAKE RIVER ENDOSCOPY CENTER |
| Entity Type | Organization |
| Authorized Contact | ROBERT WARD Physician 208-732-3030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0800X |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2008-06-17 |