Organization
CLEARWATER ADVANCED SURGICAL ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RASHNA GINWALLA MD (OWNER)
(208) 900-8087
Entity
Organization
Contact information
Practice address
1281 E IRON EAGLE DR, EAGLE, ID 83616-6599
(208) 985-6179
(833) 468-5265
Mailing address
1775 W STATE STREET, PMB 361, BOISE, ID 83702
(208) 900-8087
(833) 468-5265
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
2086S0102X
Surgical Critical Care Physician
—
—
2086S0127X
Trauma Surgery Physician
—
—
Other
Enumeration date
04/27/2026
Last updated
05/11/2026
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