BLUE LAKES GASTROENTEROLOGY PLLC NPI 1144267022

NPI Information

BLUE LAKES GASTROENTEROLOGY, PLLC is a gastroenterology internal medicine in Twin Falls, ID. The provider is an internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. BLUE LAKES GASTROENTEROLOGY, PLLC NPI is 1144267022. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

775 POLE LINE RD W
SUITE 203
TWIN FALLS, ID
ZIP 83301-814
Phone: (208) 814-8300
Fax: (208) 733-8970

The provider's authorized official is Robert Ward .
The authorized official title is Physician and has the following contact phone number (208) 814-8300.

The enumeration date for this NPI number is 6/1/2006 and was last updated on 3/9/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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