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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