IE
IDAHO ENDOSCOPY CENTER LLC
Adult Day Care
OIG CLEARNPI VERIFIEDMEDICARE ACTIVE
Location
BOISE, ID
Licensed since
2009
Rate
—
Federal identifiers
NPI registry number1750616249
Agency details
Medicare activity
StatusActive — enrolled to order & refer
Medicare patients1,679
Authorized official
NameMARK MALLORY
TitleMANAGER/DOCTOR
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