Blue Lakes Gastroenterology, PLLC
Blue Lakes Gastroenterology, PLLC provides Gastroenterology Physician services in Twin Falls, Idaho. Licensed in Idaho. Registered with an NPI since 2006.
- Licensed in
- ID
- In the registry since
- 2006
What do these letters mean?
- PLLC — Professional limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
775 Pole Line Rd W Ste 203Twin Falls, ID 83301-5814 Not confirmed with CMS for 13 years — call before visiting
Phone: (208) 814-8300
Fax: (208) 733-8970
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Gastroenterology Physician (primary) | Taxonomy 207RG0100X · Licence M6665 (ID) |
|---|
Record details
| NPI number | 1144267022 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Robert Ward — Physician · (208) 814-8300 |
| NPI enumerated | June 1, 2006 |
| Last updated in NPPES | March 9, 2013 |
| Mailing address | 775 Pole Line Rd W, Suite 203, Twin Falls, ID 83301-5814 |
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Northwest Gastroenterology, PLLC
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Ted Rea, MD
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