Addison Surgery Center
NPI #1811992811 in Twin Falls, Idaho
Provider Information
- NPI Number
- 1811992811
- Entity Type
- Organization
- Organization Name
- Addison Surgery Center
- Primary Specialty
- Clinic/Center - Ambulatory Surgical
- Enumeration Date
- Jun 16, 2005
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 191 ADDISON AVE
- Address 2
- STE 1
- City
- Twin Falls
- State
- Idaho
- ZIP Code
- 83301-5177
- Phone
- (208) 734-5993
Authorized Official
- Name
- DAVID BLACKMER, DPM
- Title
- MEDICAL DIRECTOR
- Phone
- (208) 734-5993
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Ambulatory Surgical — Ambulatory Surgical |
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