Organization
MAGIC VALLEY ANESTHESIOLOGY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA MCCOY (BILLING MANAGER)
(208) 734-7362
Entity
Organization
Contact information
Practice address
650 ADDISON AVE W, TWIN FALLS, ID 83301-5444
(208) 734-7362
(208) 733-9463
Mailing address
PO BOX 1657, TWIN FALLS, ID 83303-1657
(208) 734-7362
(208) 733-9463
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
05/11/2006
Last updated
08/22/2020
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