Organization
TWIN FALLS IMAGING & DIAGNOSTIC CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FREDERICK L SURBAUGH MD (OWNER)
(208) 732-1205
Entity
Organization
Contact information
Practice address
1330 FILER AVE E, TWIN FALLS, ID 83301-4119
(208) 732-1205
(208) 736-2413
Mailing address
562 SHOUP AVE W, TWIN FALLS, ID 83301-5029
(208) 732-1205
(208) 736-2413
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
03/01/2007
Last updated
08/22/2020
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