Twin Falls Imaging & Diagnostic Center LLC

NPI #1124185053 in Twin Falls, Idaho

Provider Information

NPI Number
1124185053
Entity Type
Organization
Organization Name
Twin Falls Imaging & Diagnostic Center LLC
Primary Specialty
Clinic/Center
Enumeration Date
Jan 2, 2007
Last Updated
Jun 30, 2008

Practice Location

Address
562 SHOUP AVE W
State
Idaho
ZIP Code
83301-5029
Phone
(208) 732-1205

Authorized Official

Name
FREDERICK L SURBAUGH, M.D.
Title
OWNER
Phone
(208) 732-1205

Specialties & Taxonomy Codes

Specialty
Clinic/Center

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