Surgical Associates Of Southern Id in Twin Falls - Surgical
Surgical Associates Of Southern Id - NPI 1033259700
Surgical Associates Of Southern Id is a Surgical in Twin Falls, Idaho. Surgical Associates Of Southern Id practices all healthcare services and medical treatments related to Surgical. The NPI Number for Surgical Associates Of Southern Id is 1033259700. The last update date is 2010-01-15.
Surgical Associates Of Southern Id's current location address is 650 Addison Ave W, Twin Falls, Idaho. You can contact this provider via phone number 2087372112. The mailing address for Surgical Associates Of Southern Id is 650 Addison Ave W, Twin Falls, Idaho. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Surgical Associates Of Southern Id |
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Address | 650 Addison Ave W, Twin Falls, Idaho |
Phone Number | 2087372112 |
Fax Number | |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | PRESIDENT |
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Authorized Official Name | Schrader Scott |
Credentials | PHYSICIAN |
Telephone Number | 2087364568 |
NPI Number Detail
NPI Number | 1033259700 |
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Provider Enumeration Date | 2007-02-08 |
Last Updated Date | 2010-01-15 |
Provider Mailing Address Detail
Address | 650 Addison Ave W |
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City | Twin Falls |
State | Idaho (ID) |
Post Code | 833015444 |
Phone Number | 2087372112 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Surgical |
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Taxonomy | 363As0400X |
Licence No | PA271 |
Definition: A licensed healthcare professional who assists in providing surgical care under physician supervision. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
805592000 | ID | -- | |
PAWT9 | ID | BLUE CROSS | |
10151672 | ID | BLUE SHIELD |
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What is the Surgical Associates Of Southern Id's unique identification number?
The Surgical Associates Of Southern Id has been assigned the NPI (National Provider Identifier) Number 1033259700 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete address where Surgical Associates Of Southern Id is physically located?
The Surgical Associates Of Southern Id is situated at the following address: 650 Addison Ave W, Twin Falls, ID 833015444.
What is Surgical Associates Of Southern Id's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Surgical Associates Of Southern Id is Surgical, and the corresponding taxonomy classification code for this specialized field is 363As0400X.
When did the Surgical Associates Of Southern Id receive its 1033259700?
The Surgical Associates Of Southern Id was issued its 1033259700 on 2007-02-08, which is the date when the organization was assigned this unique identifier.
As of what date were the Surgical Associates Of Southern Id's details last updated?
The information pertaining to the Surgical Associates Of Southern Id, including its address, specialty, and other details, was most recently updated on 2010-01-15.
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