Organization
ADDISON SURGERY CENTER INC
Active
Organization
ADDISON SURGERY CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID A. BLACKMER DPM (PODIATRIST)
(208) 734-8441
Entity
Organization
Contact information
Practice address
191 ADDISON AVE, TWIN FALLS, ID 83301-5177
(208) 734-8441
(208) 734-5993
Mailing address
PO BOX 16820, BOISE, ID 83715-6820
(208) 734-8441
(208) 734-5993
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
P 118
ID
Other
Enumeration date
08/16/2006
Last updated
01/04/2012
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