Organization
SNAKE RIVER GASTROENTEROLOGY LABS, L.L.C.
Active
Organization
SNAKE RIVER GASTROENTEROLOGY LABS, L.L.C.
Active
Other names
SNAKE RIVER ENDOSCOPY CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT WARD M.D. (PHYSICIAN)
(208) 732-3030
Entity
Organization
Contact information
Practice address
141 MORRISON ST, TWIN FALLS, ID 83301-5451
(208) 732-3030
(208) 733-8970
Mailing address
141 MORRISON ST, TWIN FALLS, ID 83301-5451
(208) 732-3030
(208) 733-8970
Taxonomy
Speciality
Code
Description
License number
State
261QE0800X
Endoscopy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
806686500
—
ID
01
—
P00056475
RR MEDICARE
ID
Enumeration date
06/03/2006
Last updated
06/17/2008
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