Organization
SURGICAL SPECIALTIES CLINIC
Active
Parent organization
WALTER KNOX MEMORIAL HOSPITAL
Organization subpart
Yes
Provider details
NPI number
Legal business name
WALTER KNOX MEMORIAL HOSPITAL
Authorized official
BRAD TURPEN (CEO)
(208) 999-3870
Entity
Organization
Contact information
Practice address
1024 E LOCUST ST, EMMETT, ID 83617-2776
(208) 365-2338
Mailing address
1202 E LOCUST ST, EMMETT, ID 83617-2715
(208) 365-2338
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
O-0674
ID
Other
Enumeration date
12/26/2012
Last updated
11/30/2019
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