EAST IDAHO ORTHOPAEDICS, PLLC
Organization (NPI-2)
Active
Orthopaedic Surgery, Sports Medicine
Provider Information
- NPI Number
1144413154- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 2210 CORONADO ST, IDAHO FALLS, ID, 834047430
- Phone
- (208) 522-3355
- Fax
- (208) 522-6019
Specialties & Taxonomies
Orthopaedic Surgery
License: ID #M-10197
Orthopaedic Surgery, Sports Medicine
Primary License: ID #M9781