SPINE CIN OF BOISE, LLC

BOISE, ID
NPI1104489376
Entity TypeOrganization
Authorized ContactEDWARD LELAND HUTTON EADIE
Director
615-733-2064
Organization Subpart ?No
Primary Taxonomy207XS0117X Orthopaedic Surgery Orthopaedic Surgery of the Spine
Enumeration Date2019-04-15
Last Update Date2019-04-15
Business Address
SPINE CIN OF BOISE, LLC
800 W MAIN ST STE 1460-10
BOISE, ID 83702-5945
Phone number: 615-386-0064
Mailing Address
SPINE CIN OF BOISE, LLC
102 WOODMONT BLVD STE 350
NASHVILLE, TN 37205-2216
Phone number: 615-733-2064