Idaho Endoscopy Center LLC
NPI #1043835713 in Nampa, Idaho
Provider Information
- NPI Number
- 1043835713
- Entity Type
- Organization
- Organization Name
- Idaho Endoscopy Center LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- IDAHO ENDOSCOPY CENTER LLC
- Primary Specialty
- Clinic/Center - Ambulatory Surgical
- Enumeration Date
- Jun 9, 2020
- Last Updated
- Jul 30, 2020
Practice Location
Authorized Official
- Name
- MARK A MALLORY, MD
- Title
- MANAGER
- Phone
- (208) 489-1900
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Ambulatory Surgical — Ambulatory Surgical |
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