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1750616249
IDAHO ENDOSCOPY CENTER LLC
BOISE, ID
NPI
1750616249
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Entity Type
Organization
Authorized Contact
MARK A MALLORY
Manager/Doctor
208-489-1900
Organization Subpart ?
No
Primary Taxonomy
261QA1903X Clinic/Center, Ambulatory Surgical
Enumeration Date
2009-10-16
Last Update Date
2020-07-23
Business Address
IDAHO ENDOSCOPY CENTER LLC
6259 W EMERALD ST
BOISE, ID 83704-8731
Phone number: 208-489-1900
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Mailing Address
IDAHO ENDOSCOPY CENTER LLC
6259 W EMERALD ST
BOISE, ID 83704-8731
Phone number: 208-489-1900
Copy
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