Minimally Invasive Surgery Northwest, INC

NPI #1992758403 in Post Falls, Idaho

Provider Information

NPI Number: 1992758403
Entity Type: Organization
Organization Name: Minimally Invasive Surgery Northwest, INC
Primary Specialty: Surgery
Enumeration Date: May 18, 2006
Last Updated: Nov 1, 2007

Practice Location

Address: 750 N SYRINGA ST
Address 2: SUITE 205
City: Post Falls
State: Idaho
ZIP Code: 83854-5275
Phone: (208) 415-0151

Authorized Official

Name: JOHN L PENNINGS, M.D.
Title: PRESIDENT
Phone: (208) 415-0151

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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