Northwest Gastroenterology, Pllc
NPI #1881100097 in Twin Falls, Idaho
Provider Information
- NPI Number
- 1881100097
- Entity Type
- Organization
- Organization Name
- Northwest Gastroenterology, Pllc
- Primary Specialty
- Internal Medicine - Gastroenterology
- Enumeration Date
- Dec 26, 2017
- Last Updated
- Jun 19, 2020
Practice Location
- Address
- 526 SHOUP AVE W
- City
- Twin Falls
- State
- Idaho
- ZIP Code
- 83301-6050
- Phone
- (208) 736-7620
Authorized Official
- Name
- JUDITH ERIKA CSANKY, MD
- Title
- SOLE OWNER
- Phone
- (503) 505-3628
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine - Gastroenterology — Gastroenterology |
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