| NPI | 1083998827 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH M VERSKA Owner/President 208-378-7700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery Orthopaedic Surgery of the Spine (Licence: ID M-6736) |
| Enumeration Date | 2011-09-28 |
| Last Update Date | 2013-01-08 |