Surgical Bariatrics Northwest, Inc. P.a.

NPI #1033127659 in Post Falls, Idaho

Provider Information

NPI Number
1033127659
Entity Type
Organization
Organization Name
Surgical Bariatrics Northwest, Inc. P.a.
Primary Specialty
Surgery
Enumeration Date
Aug 3, 2006
Last Updated
Jul 18, 2007

Practice Location

Address
750 N SYRINGA ST
Address 2
SUITE 205
State
Idaho
ZIP Code
83854-5275
Phone
(208) 262-0945

Authorized Official

Name
DR. JOHN L. PENNINGS, MD
Title
PRESIDENT
Phone
(208) 262-0945

Specialties & Taxonomy Codes

Specialty
Surgery

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