Blue Lakes Gastroenterology, Pllc Valid NPI

Organization · Gastroenterology Physician · Twin Falls, ID

NPI

1144267022

Type

Organization (Type 2)

Primary specialty

Gastroenterology Physician (Internal Medicine)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207RG0100X

License number

M6665 (ID)

Enumerated

2006-06-01

Last updated

2013-03-09