| 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 |
| Enumeration Date | 2021-11-17 |
| Last Update Date | 2023-03-31 |