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Organization
BOISE ENDOSCOPY CENTER, LLC
Active
Organization
BOISE ENDOSCOPY CENTER, LLC
Active
Other names
10 Mile Endoscopy Center
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT LOCKWOOD MD (PRESIDENT)
(208) 343-6458
Entity
Organization
Contact information
Practice address
875 S VANGUARD WAY STE 300, MERIDIAN, ID 83642-8613
(208) 565-5035
(208) 343-5031
Mailing address
425 W BANNOCK ST, BOISE, ID 83702-6035
(208) 343-6458
(208) 343-5031
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
02/25/2026
Last updated
02/25/2026
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