Organization
BOISE ENDOSCOPY CENTER, LLC
Active
Other names
10 Mile Endoscopy Center
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT LOCKWOOD MD (PRESIDENT)
(208) 343-6458
Entity
Organization
Contact information
Practice address
875 S VANGUARD WAY STE 300, MERIDIAN, ID 83642-8613
(208) 565-5035
(208) 343-5031
Mailing address
425 W BANNOCK ST, BOISE, ID 83702-6035
(208) 343-6458
(208) 343-5031
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
02/25/2026
Last updated
02/25/2026
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