Twin Falls Imaging & Diagnostic Center LLC
NPI #1063540136 in Twin Falls, Idaho
Provider Information
- NPI Number
- 1063540136
- Entity Type
- Organization
- Organization Name
- Twin Falls Imaging & Diagnostic Center LLC
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Mar 1, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 1330 FILER AVE E
- City
- Twin Falls
- State
- Idaho
- ZIP Code
- 83301-4119
- Phone
- (208) 732-1205
Authorized Official
- Name
- FREDERICK L SURBAUGH, MD
- Title
- OWNER
- Phone
- (208) 732-1205
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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