NPI | 1215095252 |
---|---|
Former Legal Business Name | LEWISTON ORTHOPAEDIC ASSOCIATES PA |
Entity Type | Organization |
Authorized Contact | CINDY L KEENE CEO 208-298-1020 |
Organization Subpart ? | No |
Primary Taxonomy | 204C00000X Neuromusculoskeletal Medicine, Sports Medicine |
Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty |
261QM1300X Clinic/Center, Multi-Specialty (Licence: ID BL04-213478) | |
Enumeration Date | 2006-12-04 |
Last Update Date | 2017-01-24 |