Medical Surgical Group INC

NPI #1306917000 in Lewiston, Idaho

Provider Information

NPI Number: 1306917000
Entity Type: Organization
Organization Name: Medical Surgical Group INC
Primary Specialty: Clinic/Center - Radiology, Mammography
Enumeration Date: Nov 13, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 307 SAINT JOHNS WAY
Address 2: SUITE 6
City: Lewiston
State: Idaho
ZIP Code: 83501-2435
Phone: (208) 743-0962

Authorized Official

Name: MICHAEL JOHN HOFFMAN
Title: BUSINESS MANAGER
Phone: (208) 743-0962

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Radiology, Mammography — Radiology, Mammography	261QR0206X	Primary

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