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1952414609
ADDISON SURGERY CENTER INC
TWIN FALLS, ID
NPI
1952414609
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Entity Type
Organization
Authorized Contact
DAVID A. BLACKMER
Podiatrist
208-734-8441
Organization Subpart ?
No
Primary Taxonomy
261Q00000X Clinic/Center
(Licence: ID P 118)
Enumeration Date
2006-08-16
Last Update Date
2012-01-04
Business Address
ADDISON SURGERY CENTER INC
191 ADDISON AVE
TWIN FALLS, ID 83301-5177
Phone number: 208-734-8441
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Mailing Address
ADDISON SURGERY CENTER INC
PO BOX 16820
BOISE, ID 83715-6820
Phone number: 208-734-8441
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