NPI | 1912992900 |
---|---|
Doing Business As | DBA MERIDIAN ENDOSCOPY CENTER |
Entity Type | Organization |
Authorized Contact | REBECCA PAHSSEN Credentialing Manager 208-489-1431 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: ID 13-C0001057) |
Enumeration Date | 2005-09-15 |
Last Update Date | 2022-12-08 |