Organization
SNAKE RIVER WOUND CARE AND HYPERBARICS LLC
Active
Organization
SNAKE RIVER WOUND CARE AND HYPERBARICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUMEDHA MOHAN (OWNER)
(210) 255-7565
Entity
Organization
Contact information
Practice address
781 NORTH COLLEGE ROAD, TWIN FALLS, ID 83301
(210) 255-7565
Mailing address
781 NORTH COLLEGE ROAD, TWIN FALLS, ID 83301
(210) 255-7565
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
208600000X
Surgery Physician
—
—
2086S0105X
Surgery of the Hand (Surgery) Physician
—
—
2086S0122X
Plastic and Reconstructive Surgery Physician
—
—
Other
Enumeration date
10/28/2024
Last updated
10/29/2024
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