| NPI | 1093472748 |
|---|---|
| Doing Business As | DEWING SPORTS ORTHOPEDIC SURGERY |
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER BATEMAN DEWING Sole Owner 208-618-6070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery |
| 207XX0005X Orthopaedic Surgery Sports Medicine | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 363A00000X Physician Assistant | |
| 363AS0400X Physician Assistant Surgical | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2021-11-17 |
| Last Update Date | 2024-06-28 |