Surgical Associates of Southern Id
NPI #1033259700 in Twin Falls, Idaho
Provider Information
- NPI Number
- 1033259700
- Entity Type
- Organization
- Organization Name
- Surgical Associates of Southern Id
- Primary Specialty
- Physician Assistant - Surgical
- Enumeration Date
- Feb 8, 2007
- Last Updated
- Jan 15, 2010
Practice Location
- Address
- 650 ADDISON AVE W
- City
- Twin Falls
- State
- Idaho
- ZIP Code
- 83301-5444
- Phone
- (208) 737-2112
Authorized Official
- Name
- MR. SCOTT SCHRADER, PHYSICIAN ASSIATANT
- Title
- PRESIDENT
- Phone
- (208) 736-4568
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Surgical — Surgical |
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