| 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 Clinic/Center, Endoscopy | 
| Enumeration Date | 2006-06-03 | 
| Last Update Date | 2008-06-17 |