| NPI | 1295189918 |
|---|---|
| Doing Business As | LILJENQUIST & REDD ORTHOPEDIC SURGERY |
| Entity Type | Organization |
| Authorized Contact | ALEXIS L BERGESON Practice Manager 208-932-4133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: ID M-9781) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: ID M-10197) |
| 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: ID M-9781) | |
| Enumeration Date | 2016-04-19 |
| Last Update Date | 2016-04-19 |