Organization
BOISE ENDOSCOPY CENTER, LLC
Active
Parent organization
BOISE ENDOSCOPY CENTER, LLC
Other names
Canyon County Endoscopy Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
BOISE ENDOSCOPY CENTER, LLC
Authorized official
REBECCA BUTTERFIELD (CREDENTIALING MANAGER)
(208) 489-1431
Entity
Organization
Contact information
Practice address
1216 GARRITY BLVD, NAMPA, ID 83687-3402
(208) 954-8218
(208) 368-0863
Mailing address
2235 E GALA ST, MERIDIAN, ID 83642-8026
(208) 489-1431
(208) 343-5031
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
12/03/2021
Last updated
06/29/2023
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