# TWIN FALLS ORTHOPEDICS, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659316875
- **Authorized official:** FREDERICK L SURBAUGH M.D. (OWNER)
- **Authorized official phone:** (208) 734-3455

## Contact information

- **Practice address:** 562 SHOUP AVE W, TWIN FALLS, ID 83301-5029
- **Practice address phone:** (208) 734-3455
- **Practice address fax:** (208) 733-7389
- **Mailing address:** PO BOX 1808, TWIN FALLS, ID 83303-1808
- **Mailing address phone:** (208) 734-3455
- **Mailing address fax:** (208) 733-7389

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | — | NULL | Yes |
| 174400000X | Specialist | — | — | Yes |

## Other

- **Enumeration date:** 06/19/2006
- **Last updated:** 07/18/2007