Addison Surgery Center INC

NPI #1952414609 in Twin Falls, Idaho

Provider Information

NPI Number: 1952414609
Entity Type: Organization
Organization Name: Addison Surgery Center INC
Primary Specialty: Clinic/Center
Enumeration Date: Aug 16, 2006
Last Updated: Jan 4, 2012

Practice Location

Address: 191 ADDISON AVE
City: Twin Falls
State: Idaho
ZIP Code: 83301-5177
Phone: (208) 734-8441

Authorized Official

Name: DAVID A. BLACKMER, DPM
Title: PODIATRIST
Phone: (208) 734-8441

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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