| NPI | 1124221247 |
|---|---|
| Doing Business As | ADA ORTHOPAEDIC CLINIC |
| Entity Type | Organization |
| Authorized Contact | RICHARD MOORE M.D. 208-377-0777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: ID M5456) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: ID M8524) |
| 363A00000X Physician Assistant (Licence: ID PA370) | |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2010-07-06 |