| NPI | 1083729438 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROGER C DUNTEMAN Owner/Partner 208-664-2175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 225100000X Physical Therapist |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2025-05-20 |