| NPI | 1144413154 |
|---|---|
| Doing Business As | LILJENQUIST & REDD ORTHOPEDIC SURGERY |
| Entity Type | Organization |
| Authorized Contact | JOSEPH R LILJENQUIST President 208-522-3355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: ID M9781) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: ID M-10197) |
| Enumeration Date | 2007-08-22 |
| Last Update Date | 2021-09-01 |