| NPI | 1124060983 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOY ELAINE JEX Financial Manager 208-788-7779 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: ID M8204) |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2013-04-16 |