Organization
BOISE GASTROENTEROLOGY ASSOCIATES
Active
Parent organization
BOISE GASTROENTEROLOGY ASSOCIATES
Other names
Idaho Endoscopy Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
BOISE GASTROENTEROLOGY ASSOCIATES
Authorized official
DR. ROBERT F GIBSON M.D. (PHYSICIAN)
(208) 489-1900
Entity
Organization
Contact information
Practice address
6259 W EMERALD ST, BOISE, ID 83704-8731
(208) 489-1900
(208) 375-5286
Mailing address
6259 W EMERALD ST, BOISE, ID 83704-8731
(208) 489-1900
(208) 375-5286
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
05/23/2007
Last updated
11/19/2007
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