Boise Endoscopy Center, LLC

NPI #1114912102 in Boise, Idaho

Provider Information

NPI Number
1114912102
Entity Type
Organization
Organization Name
Boise Endoscopy Center, LLC
Primary Specialty
Clinic/Center - Ambulatory Surgical
Enumeration Date
Sep 15, 2005
Last Updated
Dec 8, 2022

Practice Location

Address
425 W BANNOCK ST
City
Boise
State
Idaho
ZIP Code
83702-6035
Phone
(208) 342-7169

Authorized Official

Name
REBECCA PAHSSEN
Title
CREDENTIALING MANAGER
Phone
(208) 489-1431

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Ambulatory SurgicalAmbulatory Surgical

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