BLUE LAKES GASTROENTEROLOGY, PLLC
Organization (NPI-2)
Active
Internal Medicine, Gastroenterology
Provider Information
- NPI Number
1144267022- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 775 POLE LINE RD W SUITE 203, TWIN FALLS, ID, 833015814
- Phone
- (208) 814-8300
- Fax
- (208) 733-8970
Specialties & Taxonomies
Internal Medicine, Gastroenterology
Primary License: ID #M6665