Organization
POST FALLS ASC, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRADLEY SHANE BARLOW D.D.S. (DENTIST)
(208) 777-9331
Entity
Organization
Contact information
Practice address
602 N CALGARY CT, SUITE 203, POST FALLS, ID 83854-4000
(208) 777-9331
(208) 777-9335
Mailing address
602 N CALGARY CT, SUITE 201, POST FALLS, ID 83854-4000
(208) 777-9331
(208) 777-9335
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
09-0863
ID
Other
Enumeration date
01/18/2010
Last updated
01/18/2010
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