| NPI | 1346375417 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI J SARICH Office Manager 208-855-2410 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: ID M9278) |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2008-05-08 |