| NPI | 1144376195 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | A HERBERT ALEXANDER President/Owner 208-727-0005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery, Hand Surgery |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2022-03-21 |