BLUE LAKES GASTROENTEROLOGY PLLC

TWIN FALLS, ID
NPI1821299553
Entity TypeOrganization
Authorized ContactROBERT WARD
Physician
208-814-8300
Organization Subpart ?No
Primary Taxonomy363L00000X Nurse Practitioner
Enumeration Date2007-05-30
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
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