Organization
TWIN FALLS ORTHOPEDICS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FREDERICK L SURBAUGH M.D. (OWNER)
(208) 734-3455
Entity
Organization
Contact information
Practice address
562 SHOUP AVE W, TWIN FALLS, ID 83301-5029
(208) 734-3455
(208) 733-7389
Mailing address
PO BOX 1808, TWIN FALLS, ID 83303-1808
(208) 734-3455
(208) 733-7389
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
06/19/2006
Last updated
07/18/2007
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