Individual
JUDITH ERIKA CSANKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1411 FALLS AVE E STE 1151, TWIN FALLS, ID 83301-3455
(208) 933-4277
Mailing address
2156 EAGLECREST DR, FILER, ID 83328-5068
(503) 505-3628
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
M11559
ID
207RG0100X
Gastroenterology Physician
MD26092
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1598843039
—
ID
05
—
287276
—
OR
Enumeration date
11/01/2006
Last updated
12/01/2017
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