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Organization

TWIN FALLS IMAGING AND DIAGNOSTIC CENTER

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) 732-1205
Mailing address
PO BOX 1808, TWIN FALLS, ID 83303-1808
(208) 732-1205

Taxonomy

Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary

Other

Enumeration date
08/09/2006
Last updated
08/22/2020
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