Organization
NORTHWEST GASTROENTEROLOGY, PLLC
Active
Organization
NORTHWEST GASTROENTEROLOGY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUDITH ERIKA CSANKY MD (SOLE OWNER)
(503) 505-3628
Entity
Organization
Contact information
Practice address
526 SHOUP AVE W, TWIN FALLS, ID 83301-6050
(208) 736-7620
(855) 830-4058
Mailing address
2156 EAGLECREST DR, FILER, ID 83328-5068
(503) 505-3628
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
M-11559
ID
Other
Enumeration date
12/26/2017
Last updated
06/19/2020
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